Khiabet Corona
Physician Assistant in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982431920
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1982431920
- Entity type
- Individual (NPI-1)
- Name
- Khiabet Corona
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2024
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA67887 | CA | Yes |
Practice location
1414 S Grand AveLos Angeles, CA 90015-3067
Phone 213-743-9000
Mailing address
1781 Dove WayUpland, CA 91784-9247
Phone 909-225-9486
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