Individual
SEAN P NIKRAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 PLACENTIA AVE, STE 99, NEWPORT BEACH, CA 92663-3301
(949) 650-0616
(949) 650-0600
Mailing address
355 PLACENTIA AVE, STE 99, NEWPORT BEACH, CA 92663-3301
(949) 650-0600
(866) 293-0414
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A80371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A80371
STATE LICENSE
CA
Enumeration date
09/26/2005
Last updated
06/19/2018
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