Individual provider · Type 1 NPI

Golara Khandan, DMD

Student in an Organized Health Care Education/Training Program · Venice, CA

NPI number 1235827643 Active

Practice location

323 Lincoln Blvd
Venice, CA 90291-2842

Mailing address

2039 N Las Palmas Ave Apt 311
Los Angeles, CA 90068-4115

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235827643

Golara Khandan, DMD's National Provider Identifier is 1235827643, issued on Apr 25, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Venice, CA. The record was last updated on Feb 4, 2024.