| Cameron Khavrian, Md Inc | |
|
320 Superior Avenue Suite 320 Newport Beach CA 92663-2742 | |
| (949) 645-8475 | |
| (855) 213-1762 |
| Full Name | Cameron Khavrian, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 Superior Avenue, Newport Beach, California |
| Authorized Official Name and Position | Cameron Khavarian (OWNER/PRESIDENT) |
| Authorized Official Contact | 9496458475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Khavrian, Md Inc 320 Superior Avenue Suite 320 Newport Beach CA 92663-2742 Ph: (949) 645-8475 | Cameron Khavrian, Md Inc 320 Superior Avenue Suite 320 Newport Beach CA 92663-2742 Ph: (949) 645-8475 |
| NPI Number | 1528138823 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 01/31/2014 |
| Medicare PECOS PAC ID | 3173620275 |
|---|---|
| Medicare Enrollment ID | O20070524000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528138823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A79842 (California) | Primary |
| Provider Name | Cameron Khavarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104871938 PECOS PAC ID: 5698877389 Enrollment ID: I20070227000453 |
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