| Michele Amirkhan Md Inc | |
|
1100 N Tustin Ave Suite F Santa Ana CA 92705-3509 | |
| (714) 667-7922 | |
| Not Available |
| Full Name | Michele Amirkhan Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Mojgan Michele Amirkhan (PRESIDENT) |
| Authorized Official Contact | 7146677922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Amirkhan Md Inc 302 N Tustin Ave Suite 100 Santa Ana CA 92705-3838 Ph: (714) 667-7922 | Michele Amirkhan Md Inc 1100 N Tustin Ave Suite F Santa Ana CA 92705-3509 Ph: (714) 667-7922 |
| NPI Number | 1053636399 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053636399 | NPI | - | NPPES |
| O5D0940482 | Other | CA | CLIA |
| 200633070A | Medicaid | KS | |
| G80416 | Other | CA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G080416 (California) | Primary |
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