Individual
DR. AMIN KHORSANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 SANTA MONICA BLVD, SUITE 301, SANTA MONICA, CA 90404-2304
(310) 449-0093
(310) 449-9204
Mailing address
2222 SANTA MONICA BLVD, SUITE 301, SANTA MONICA, CA 90404-2304
(310) 449-0093
(310) 449-9204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A56357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A563570
—
CA
Enumeration date
07/27/2006
Last updated
07/09/2007
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