Elena Khavshaba
NPI #1487364808 in Montrose, California
Provider Information
- NPI Number
- 1487364808
- Entity Type
- Individual
- Name
- Elena Khavshaba
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 28, 2022
- Last Updated
- Apr 28, 2023
Practice Location
- Address
- 2621 HONOLULU AVE
- City
- Montrose
- State
- California
- ZIP Code
- 91020-1706
- Phone
- (818) 726-7220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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