Mashallah Ezzati M.D

NPI 1023011087 - Family Medicine - 207QA0401X

NPI Details
NPI 1023011087
Gender Male
Enumeration Date 05/24/2005
Last Updated 08/30/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
23361 EL TORO RD
107
LAKE FOREST CA, 92630-6922, US
Phone (949) 235-9818
Fax (949) 305-9500
Business Location
23361 EL TORO RD
107
LAKE FOREST CA, 92630-6922, US
Phone (949) 235-9818
Fax (949) 305-9500
Toxanomy
Taxonomy Code 207QA0401X
License State California
License Number C42933
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According to our database, Dr. Mashallah Ezzati M.D NPI is 1023011087, taxonomy code is 207QA0401X and license number is C42933, license state is located at California. Mashallah Ezzati M.D physically located at 23361 El Toro Rd, Lake Forest CA, 92630-6922. NPI Number Mashallah Ezzati M.D has the Individual type.

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1023011087 NPI number is provided on an as is basis without warranty of any kind. 1023011087 is maintained by the National Plan & Provider Enumeration System. The contents of Mashallah Ezzati M.D are for informational purposes only.