Khanlou, Negar

Khanlou, Negar is an individual health care provider with primary practice located at 10833 Leconte Ave Box 951732, A7-149 Chs Box 116, Los Angeles CA 90095-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Neuropathology is her primary health care specialty. Khanlou, Negar can be contacted via phone (310) 794-5560.

Contact Information

Primary practice address
10833 Leconte Ave Box 951732, A7-149 Chs Box 116 Los Angeles CA 90095-0001
Phone: (310) 794-5560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X A91536 California
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X A91536 California

Profile Details

NPI number 1376784678
LBN Legal business name Khanlou, Negar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2009
Last updated Jun 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376784678 NPPES
California MEDICAID 00A9153600

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