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Sara Khadivi

NPI 1063047348 · on the registry since 2020 · sole proprietor

Practice

Address
8808 Balboa Ave
San Diego, CA 92123
Phone
(619) 481-2569
Organisation at this address
Nmc San Diego
Tricare Outpatient Clinic Clairemont
American Medical Response Ambulance Service Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 249 Cassady Ave, Virginia Beach, VA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California