Individual
DR. ABTIN HAJILOO KHOSRAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 W LA VETA AVE STE 775, ORANGE, CA 92868-4306
(714) 541-4996
(714) 835-9550
Mailing address
PO BOX 5871, ORANGE, CA 92863-5871
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2481
MD
208600000X
Surgery Physician
Primary
A142491
CA
Other
Enumeration date
03/27/2009
Last updated
07/07/2020
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