Individual provider · Type 1 NPI

Kenan Kherallah, BS

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

NPI number 1669330643 Active

Practice location

1975 Zonal Ave
Los Angeles, CA 90089-5601

Call (323) 442-1100 Map

Mailing address

770 S Grand Ave Apt 4067
Los Angeles, CA 90017-3944

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 1669330643

Kenan Kherallah, BS's National Provider Identifier is 1669330643, issued on Jan 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 9, 2026.