Individual provider · Type 1 NPI

Theodore Khalili, MD

Specialist · Los Angeles, CA

NPI number 1023092103 Active

Practice location

8700 Beverly Blvd.
Los Angeles, CA 90048-1865

Fax (310) 967-1744

Mailing address

PO Box 512717
Los Angeles, CA 90051-0717

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG81066 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1023092103

Theodore Khalili, MD's National Provider Identifier is 1023092103, issued on Dec 2, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.