Individual
ANASTASIA KHADJINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4505 LA JOLLA VILLAGE DR STE C5, SAN DIEGO, CA 92122-1214
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A194007
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1771663
STUDENT ID NUMBER
WA
Enumeration date
04/01/2021
Last updated
03/17/2025
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