Khavshaba, Elena

Khavshaba, Elena is an individual health care provider with primary practice located at 2621 Honolulu Ave , Montrose CA 91020-1706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Khavshaba, Elena can be contacted via phone (818) 726-7220.

Contact Information

Primary practice address
2621 Honolulu Ave Montrose CA 91020-1706
Phone: (818) 726-7220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F11220384 California

Profile Details

NPI number 1487364808
LBN Legal business name Khavshaba, Elena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2022
Last updated Apr 28th, 2023 - about 3 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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