Provider Demographics
NPI:1649459314
Name:PERRIN, KHANH (MD)
Entity type:Individual
Prefix:DR
First Name:KHANH
Middle Name:
Last Name:PERRIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8530 WILSHIRE BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3113
Mailing Address - Country:US
Mailing Address - Phone:310-550-6728
Mailing Address - Fax:310-248-3540
Practice Address - Street 1:8530 WILSHIRE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:310-550-6728
Practice Address - Fax:310-248-3540
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85672207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine