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Sara Minor Khadivi
Physician Assistant in San Diego, California
NPI 1063047348

Sara Minor Khadivi is a Physician Assistant based in San Diego, CA. Sara Minor Khadivi practices in San Diego, CA. The NPI Number for Sara Minor Khadivi is 1063047348 and holds a License No. (California).

The current practice location address for Sara Minor Khadivi is 8808 Balboa Ave, San Diego, CA and can be reached out via phone at 619-481-2569.

Location: 8808 Balboa Ave, San Diego, CA, 92102-1005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063047348
Provider Name
Sara Minor Khadivi
Credential
Provider Entity Type
Individual
Gender
Female
Address
8808 Balboa Ave, San Diego, CA, 92102-1005
Phone Number
619-481-2569
Fax Number
Provider Enumeration Date
03/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8808 Balboa Ave
City
San Diego
State
California
Zip
92123-1592
Phone Number
619-481-2569
Fax Number
person
Provider Business Mailing Address Details
Address
8808 Balboa Ave
City
San Diego
State
California
Zip
92123-1592
Phone Number
619-481-2569
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
58304 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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