Organization
ASPIRE HEALTH MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKAN KHATIBI DO (CEO)
(949) 842-9628
Entity
Organization
Contact information
Practice address
14390 CIVIC DR, VICTORVILLE, CA 92392-9709
(888) 873-6220
(888) 873-6220
Mailing address
29911 NIGUEL RD UNIT 6429, LAGUNA NIGUEL, CA 92607-2417
(949) 842-9628
(888) 873-6220
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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