SearchCalifornia207R00000X

Elizabeth Khan

NPI 1851754279 · on the registry since 2016 · sole proprietor

Practice

Address
721 River Drive
Suite A
Fort Bragg, CA 95437
Phone
(707) 961-4631
Fax
(707) 964-1192
Organisation at this address
Theophil Jantz, D.O., Inc
Keith F. Korver, M.D., Inc.
Adventist Health Mendocino Coast
Mendocino Medical Associates, Inc
Adventist Health Physicians Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Additional practice sites

  • 717 Center St, Healdsburg, CA
  • 4700 Hoen Ave, Santa Rosa, CA
  • 3883 Airway Dr Ste 202, Santa Rosa, CA

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-25

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