Jason Khadavi Dpm, Inc.
NPI #1558879924 in Encino, California
Provider Information
- NPI Number
- 1558879924
- Entity Type
- Organization
- Organization Name
- Jason Khadavi Dpm, Inc.
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Jan 18, 2018
- Last Updated
- Oct 1, 2020
Practice Location
- Address
- 16661 VENTURA BLVD STE 820
- City
- Encino
- State
- California
- ZIP Code
- 91436-4801
- Phone
- (424) 377-0441
Authorized Official
- Name
- DR. JASON KHADAVI
- Title
- PRESIDENT
- Phone
- (818) 642-3660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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