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Organization

MICHELE AMIRKHAN MD INC

Active
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Organization

MICHELE AMIRKHAN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOJGAN MICHELE AMIRKHAN MD (PRESIDENT)
(714) 667-7922
Entity
Organization

Contact information

Practice address
1100 N TUSTIN AVE, SUITE F, SANTA ANA, CA 92705-3509
(714) 667-7922
Mailing address
302 N TUSTIN AVE, SUITE 100, SANTA ANA, CA 92705-3838
(714) 667-7922

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G080416
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200633070A
—
KS
01
—
G80416
MEDICARE ID
CA
01
—
O5D0940482
CLIA
CA
Enumeration date
03/30/2010
Last updated
03/07/2023
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