Individual
AMANDA KHOSRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 BARRANCA PKWY STE 103, IRVINE, CA 92604-8603
(949) 791-3103
Mailing address
4900 BARRANCA PKWY STE 103, IRVINE, CA 92604-8603
(949) 791-3103
(949) 791-3106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A145016
CA
Other
Enumeration date
06/20/2014
Last updated
11/07/2024
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