Organization
KHOSROW MAHDAVI, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHOSROW MAHDAVI MD (PRESIDENT)
(949) 642-8566
Entity
Organization
Contact information
Practice address
4000 W COAST HWY, SUITE 3D, NEWPORT BEACH, CA 92663-2695
(949) 642-8566
(949) 642-0746
Mailing address
4000 W COAST HWY, SUITE 3D, NEWPORT BEACH, CA 92663-2695
(949) 642-8566
(949) 642-0746
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
A33589
CA
261QX0200X
Oncology Clinic/Center
Primary
A33589
CA
Other
Enumeration date
05/31/2007
Last updated
09/11/2025
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