Provider Demographics
NPI:1699334813
Name:KHOUBIAN, ANJEL (LAC)
Entity type:Individual
Prefix:
First Name:ANJEL
Middle Name:
Last Name:KHOUBIAN
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6522 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4716
Mailing Address - Country:US
Mailing Address - Phone:818-426-8462
Mailing Address - Fax:760-797-1845
Practice Address - Street 1:9301 WILSHIRE BLVD STE 313
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-6131
Practice Address - Country:US
Practice Address - Phone:818-538-7981
Practice Address - Fax:760-797-1845
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC18513171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty