KHOSROW MAHDAVI M.D. INC NPI 1124229554

NPI Information

  • NPI: 1124229554
  • Provider Name: KHOSROW MAHDAVI, M.D., INC
  • Classification: Clinic/Center - 261QX0200X
  • Specialization: Oncology
  • Entity Type: Organization
  • Address: 4000 W COAST HWY
    SUITE 3D
    NEWPORT BEACH, CA
    ZIP 92663
  • Phone: (949) 642-8566

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NPI Details

KHOSROW MAHDAVI, M.D., INC is an oncology clinic center in Newport Beach, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. KHOSROW MAHDAVI, M.D., INC NPI is 1124229554. The provider is registered as an organization entity type.

The provider's business location address is:

4000 W COAST HWY
SUITE 3D
NEWPORT BEACH, CA
ZIP 92663-695
Phone: (949) 642-8566
Fax: (949) 642-0746

The provider's authorized official is Khosrow Mahdavi .
The authorized official title is President and has the following contact phone number (949) 642-8566.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QI0500XClinic/CenterInfusion TherapyA33589CALIFORNIANo
2261QX0200XClinic/CenterOncologyA33589CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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