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1023092103
THEODORE KHALILI
LOS ANGELES, CA
NPI
1023092103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G81066)
Enumeration Date
2005-12-02
Last Update Date
2007-07-08
Business Address
Dr. THEODORE KHALILI M.D.
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048-1865
Phone number: 310-967-1884
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Mailing Address
Dr. THEODORE KHALILI M.D.
PO BOX 512717
LOS ANGELES, CA 90051-0717
Phone number: 310-967-1884
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