Individual
DR. CAMERON KHAVARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 SUPERIOR AVENUE, SUITE 320, NEWPORT BEACH, CA 92663-2742
(949) 645-8475
(855) 213-1762
Mailing address
320 SUPERIOR AVENUE, SUITE 320, NEWPORT BEACH, CA 92663-2742
(949) 645-8475
(855) 213-1762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A79842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104871938
INDIVIDUAL NPI
—
01
—
1528138823
GROUP NPI
—
01
—
W20689
PTAN
—
Enumeration date
05/23/2006
Last updated
01/31/2014
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