Khosla, Deven

Khosla, Deven is an individual health care provider with primary practice located at 2811 Wilshire Blvd Ste 950 , Santa Monica CA 90403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Khosla, Deven can be contacted via phone (775) 530-9669.

Contact Information

Primary practice address
2811 Wilshire Blvd Ste 950 Santa Monica CA 90403
Phone: (775) 530-9669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X C52516 California

Profile Details

NPI number 1013962885
LBN Legal business name Khosla, Deven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Feb 28th, 2019 - about 7 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 1013962885 NPPES
California MEDICAID XPY195323
California Other CC3105
California Other 880167036A004
California MEDICAID 002016819

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