Basic Information
| Provider Information | |||||||||
| NPI: | 1821263419 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KHANDABI | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | SIMON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1330 S LOS ANGELES ST | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900152517 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2137497947 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7300 MEDICAL CENTER DR | ||||||||
| Address2: | |||||||||
| City: | WEST HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913071902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186764000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2008 | ||||||||
| LastUpdateDate: | 11/17/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A92761 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.