Khajavi, Kiarash

Khajavi, Kiarash is an individual health care provider with primary practice located at 2141 N Harbor Blvd Suite 35000, Fullerton CA 92835-3827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Khajavi, Kiarash can be contacted via phone (714) 626-8630.

Contact Information

Primary practice address
2141 N Harbor Blvd Suite 35000 Fullerton CA 92835-3827
Phone: (714) 626-8630
Fax: (714) 626-8659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A76316 California

Profile Details

NPI number 1265518443
LBN Legal business name Khajavi, Kiarash
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Sep 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265518443 NPPES
California Other A76316 LICENSE

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