Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hatav Khademi, RN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083063580

Hatav Khademi, RN is a Student in an Organized Health Care Education/Training Program in Chula Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1161 Bay Blvd Suit B
Chula Vista, CA 91911-2670
Phone: (619) 585-7686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 852519 (CA)

Record details

NPI number1083063580
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESJune 28, 2016

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