Individual
AYOUB KHAGHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1724 PORT ASHLEY PL, NEWPORT BEACH, CA 92660-5334
(714) 662-1515
Mailing address
1724 PORT ASHLEY PL, NEWPORT BEACH, CA 92660-5334
(714) 662-1515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A44618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A446180
—
CA
Enumeration date
01/12/2006
Last updated
07/09/2007
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