Healthcare Provider Details

I. General information

NPI: 1639292758
Provider Name (Legal Business Name): KHYBER ZAFFARKHAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/17/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20341 SW BIRCH ST STE 200
NEWPORT BEACH CA
92660-1514
US

IV. Provider business mailing address

20341 SW BIRCH ST STE 100
NEWPORT BEACH CA
92660-1517
US

V. Phone/Fax

Practice location:
  • Phone: 949-438-1888
  • Fax: 949-200-6909
Mailing address:
  • Phone: 949-438-1888
  • Fax: 949-200-6909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number231672
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number20A9973
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number20A9973
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number20A9973
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: