Khanlou, Homayoon
Khanlou, Homayoon is an sole proprietor health care provider with primary practice located at 6360 Wilshire Blvd 414, Los Angeles CA 90048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khanlou, Homayoon can be contacted via phone (323) 397-0897.Contact Information
Primary practice address
6360 Wilshire Blvd 414
Los Angeles CA 90048
Phone: (323) 397-0897
Fax: (323) 655-1377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A66631 | California |
Profile Details
| NPI number | 1356335277 |
|---|---|
| LBN Legal business name | Khanlou, Homayoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Sep 6th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356335277 | NPPES |
| California | MEDICAID | 00A666310 |
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