Search › California › 101YS0200X
Amie Mahavanh
NPI 1831052976 · on the registry since 2025
Practice
- Address
- 39639 Old Highway 80
Boulevard, CA 91905 - Phone
- (619) 766-4655
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-05
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