Khadavi, Jason

Khadavi, Jason is an sole proprietor health care provider with primary practice located at 16661 Ventura Blvd Ste 820 , Encino CA 91436-4801. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Khadavi, Jason can be contacted via phone (424) 377-0441.

Contact Information

Primary practice address
16661 Ventura Blvd Ste 820 Encino CA 91436-4801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5064 California

Profile Details

NPI number 1831534197
LBN Legal business name Khadavi, Jason
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2013
Last updated Oct 1st, 2020 - about 6 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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