MEDICARE: USHA KHAND NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WM0705X	Medical-Surgical Registered Nurse	761840	CA
2	363LF0000X	Family Nurse Practitioner	F12180477	CA

General Provider Information

NPI Number	:	1881166965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	USHA KHAND NP-C

Provider Business Mailing Address
First Line	:	27 VIA ABRUZZI
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-1615
Country	:	US
Telephone Number	:	813-464-1904
Fax Number	:

Provider Business Practice Location Address
First Line	:	9233 W PICO BLVD STE 230
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1385
Country	:	US
Telephone Number	:	310-356-8146
Fax Number	:	310-356-8142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2018
Last Update Date	:	11/06/2023

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Directions to “ USHA KHAND NP-C” Practice Location

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