Individual
AMIRMAHDI ZAKI KHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9890 COUNTY FARM RD STE 2, RIVERSIDE, CA 92503-3678
(951) 483-3462
Mailing address
15217 SAN BERNARDINO AVE, FONTANA, CA 92335-5327
(951) 483-3462
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
42603
CA
167G00000X
Licensed Psychiatric Technician
Primary
42603
CA
Other
Enumeration date
08/03/2023
Last updated
08/12/2025
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