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Individual

ERIC AMIRKHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1162 MONTGOMERY DR STE 300, SANTA ROSA, CA 95405-4802
(707) 890-4250
(707) 763-7040
Mailing address
1162 MONTGOMERY DR STE 300, SANTA ROSA, CA 95405-4802
(707) 890-4250
(707) 763-7040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61050
CA

Other

Enumeration date
05/19/2022
Last updated
05/28/2025
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