Tina Khosravi is a medical physician assistant in Orange, CA. Tina Khosravi NPI is 1609301506. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
705 W LA VETA AVE STE 109
ORANGE, CA
ZIP 92868-447
Phone: (714) 628-9342
The NPI 1609301506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/27/2017 and was last updated on 11/27/2017.