Provider Demographics
NPI:1881166965
Name:KHAND, USHA (NP-C)
Entity type:Individual
Prefix:
First Name:USHA
Middle Name:
Last Name:KHAND
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 VIA ABRUZZI
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-1615
Mailing Address - Country:US
Mailing Address - Phone:813-464-1904
Mailing Address - Fax:
Practice Address - Street 1:9233 W PICO BLVD STE 230
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1385
Practice Address - Country:US
Practice Address - Phone:310-356-8146
Practice Address - Fax:310-356-8142
Is Sole Proprietor?:No
Enumeration Date:2018-12-29
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA761840163WM0705X
CAF12180477363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical