Individual provider · Type 1 NPI

Patrick N/a Khatchadourian, MD

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

NPI number 1639850167 Active

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Call (951) 486-4000 Map

Mailing address

3330 E Foothill Blvd Unit 423
Pasadena, CA 91107-3961

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 1639850167

Patrick N/a Khatchadourian, MD's National Provider Identifier is 1639850167, issued on Jul 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 27, 2023.