Organization · Type 2 NPI
Khosrow Mahdavi, M.d., Inc
Oncology Clinic/Center · Newport Beach, CA
NPI number
1124229554
Active
Practice location
4000 W Coast Hwy, Suite 3D
Newport Beach, CA 92663-2695
Fax (949) 642-0746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | A33589 (CA) |
| Oncology Clinic/Center Primary | 261QX0200X | A33589 (CA) |
Oncology Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
About NPI 1124229554
Khosrow Mahdavi, M.d., Inc's National Provider Identifier is 1124229554, issued on May 31, 2007. The primary taxonomy on file is Oncology Clinic/Center (261QX0200X), and the practice location is in Newport Beach, CA. The record was last updated on Sep 11, 2025.