Tina Khosravi
Tina Khosravi is a Medical Physician Assistant in Orange, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
705 W La Veta Ave Ste 109Orange, CA 92868-4447
Phone: (714) 628-9342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1609301506 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2017 |
| Last updated in NPPES | November 27, 2017 |
| Mailing address | 705 W La Veta Ave Ste 109, Orange, CA 92868-4447 |
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