Organization
AFAGH KHORASHADI,M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFAGH KHORASHADI M.D. (PRESIDENT)
(949) 474-4567
Entity
Organization
Contact information
Practice address
22 ODYSSEY STE 230, IRVINE, CA 92618-7700
(949) 474-4567
(949) 474-4277
Mailing address
22 ODYSSEY STE 230, IRVINE, CA 92618-7700
(949) 474-4567
(949) 474-4277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A621010
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
09/13/2006
Last updated
07/21/2022
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