Search › California › 103TC0700X
Amanda Khozouri, M.A
NPI 1477282846 · on the registry since 2022
Practice
- Address
- 480 Alta Rd
San Diego, CA 92179 - Phone
- (619) 661-6500
- Organisation at this address
- Corrections And Rehabilitation-Headquarters
State Of California Prison Industry AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 143
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-18
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