Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A97739 | CA |
N | 111NI0900X | Internist | A97739 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | A97739 | CA |
NPI | 1265640007 |
---|---|
Provider Name | Dr. Priti P Khanijou |
First Address | Santa Ana, CA 92705-2579 |
Second Address | Santa Ana, CA 92705-2579 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 11/12/2014 |