Sourihna Khounphichane
Sourihna Khounphichane is a Nurse Practitioner in Sherman Oaks, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 9
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
4912 Kester Ave Apt 106Sherman Oaks, CA 91403-1690
Phone: (847) 271-3145
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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 95014199 (CA) |
|---|
Record details
| NPI number | 1427641513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 19, 2021 |
| Last updated in NPPES | February 19, 2021 |
| Certification date | February 19, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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