Individual provider · Type 1 NPI
Tina Khosravi
Medical Physician Assistant · Orange, CA
NPI number
1609301506
Active
Practice location
705 W La Veta Ave Ste 109
Orange, CA 92868-4447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
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About NPI 1609301506
Tina Khosravi's National Provider Identifier is 1609301506, issued on Apr 27, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orange, CA. The record was last updated on Nov 27, 2017.