Amirkhan, Mojgan Michele

Amirkhan, Mojgan Michele is an sole proprietor health care provider with primary practice located at 1100 N Tustin Ave Suite F, Santa Ana CA 92705-3509. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Amirkhan, Mojgan Michele can be contacted via phone (714) 667-7922.

Contact Information

Primary practice address
1100 N Tustin Ave Suite F Santa Ana CA 92705-3509
Phone: (714) 667-7922
Fax: (714) 667-7027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G80416 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G080416 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 61080 Wisconsin

Profile Details

NPI number 1508936907
LBN Legal business name Amirkhan, Mojgan Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1508936907 NPPES
California Other 05D0940482 CLIA
California MEDICAID 200633070A CLIA
California MEDICAID 00G804160 CLIA

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