Provider Demographics
NPI:1114653144
Name:SHIRKHORSHIDI, LAYLA (PA-C)
Entity type:Individual
Prefix:
First Name:LAYLA
Middle Name:
Last Name:SHIRKHORSHIDI
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Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:431 S BATAVIA ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3937
Mailing Address - Country:US
Mailing Address - Phone:714-363-3300
Mailing Address - Fax:714-363-3487
Practice Address - Street 1:431 S BATAVIA ST STE 101
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3937
Practice Address - Country:US
Practice Address - Phone:714-363-3300
Practice Address - Fax:714-363-3487
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant