Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1689096356 |
---|---|
Provider Name | Jahandar Khoei |
First Address | Beverly Hills, CA 90210-4850 |
Second Address | Beverly Hills, CA 90210-4850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2014 |
Last Update Date | 14/01/2014 |