Emanouel Khodadadi, MSN-FNP-BC
Emanouel Khodadadi, MSN-FNP-BC is a Nurse Practitioner in Glendale, California. Graduated from University of Southern California Keck School of Medicine in 2024, 2 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 2
- Trained at
- University of Southern California Keck School of Medicine
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
1818 Verdugo Blvd Ste 401Glendale, CA 91208-1421
Phone: (818) 790-1145
Fax: (818) 790-6387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence NP95032782 (CA) |
|---|
Record details
| NPI number | 1477347193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSN-FNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | April 7, 2025 |
| Last updated in NPPES | April 7, 2025 |
| Certification date | April 7, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
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