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Search › California › 1041C0700X

Yasi Khaladjzadeh

NPI 1548930472 · on the registry since 2021

Practice

Address
3606 John Watkins Way
Chino Hills, CA 91709
Phone
(909) 740-3136
Fax
(909) 306-5427
Organisation at this address
Boys Republic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California