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Individual

MEHRNAZ KOUHKAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
23928 LYONS AVE, STE 204, NEWHALL, CA 91321-2455
(310) 347-5088
Mailing address
11690 MONTANA AVE, APT 105, LOS ANGELES, CA 90049-4671
(310) 838-6872

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3152
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006423
PA

Other

Enumeration date
12/05/2013
Last updated
04/19/2021
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