| Sanaz Khorrami Md, Inc. | |
|
355 Placentia Ave Suite 308 Newport Beach CA 92663-3311 | |
| (949) 650-0616 | |
| (949) 650-0600 |
| Full Name | Sanaz Khorrami Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 355 Placentia Ave, Newport Beach, California |
| Authorized Official Name and Position | Sanaz Khorrami (PRESIDENT) |
| Authorized Official Contact | 9496500616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanaz Khorrami Md, Inc. 355 Placentia Ave Suite 308 Newport Beach CA 92663-3311 Ph: (949) 650-0616 | Sanaz Khorrami Md, Inc. 355 Placentia Ave Suite 308 Newport Beach CA 92663-3311 Ph: (949) 650-0616 |
| NPI Number | 1639322183 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 12/08/2011 |
| Medicare PECOS PAC ID | 1951458454 |
|---|---|
| Medicare Enrollment ID | O20090421000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639322183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Sanaz Khorrami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881859221 PECOS PAC ID: 0648339515 Enrollment ID: I20081106000519 |
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