Khosrow Mahdavi, M.D., INC
Clinic/Center, Oncology in Newport Beach, CA. Organization (NPI-2).
NPI number1124229554
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1124229554
- Entity type
- Organization (NPI-2)
- Legal business name
- Khosrow Mahdavi, M.D., INC
- Organization subpart
- No
- Enumeration date
- May 31, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0200X | Clinic/Center, Oncology | a33589 | CA | Yes |
| 261QI0500X | Clinic/Center, Infusion Therapy | a33589 | CA |
Practice location
4000 W Coast HwySuite 3d
Newport Beach, CA 92663-2695
Phone 949-642-8566 · Fax 949-642-0746
Mailing address
4000 W Coast HwySuite 3d
Newport Beach, CA 92663-2695
Phone 949-642-8566 · Fax 949-642-0746
Authorized official
Khosrow Mahdavi
President
9496428566
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