Khosravi, Tina
Khosravi, Tina is an sole proprietor health care provider with primary practice located at 705 W La Veta Ave Ste 109 , Orange CA 92868-4447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Khosravi, Tina can be contacted via phone (714) 628-9342.Contact Information
Primary practice address
705 W La Veta Ave Ste 109
Orange CA 92868-4447
Phone: (714) 628-9342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1609301506 |
|---|---|
| LBN Legal business name | Khosravi, Tina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2017 |
| Last updated | Nov 27th, 2017 - about 9 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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