Ahmad Reza Ellini, MD | |
1010 W La Veta Ave, Suite 575, Orange, CA 92868-4300 | |
(714) 547-0900 | |
(714) 547-2080 |
Full Name | Ahmad Reza Ellini |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 1010 W La Veta Ave, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427144666 | NPI | - | NPPES |
410880901 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | D71188 (Maryland) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | A122753 (California) | Primary |
Entity Name | Pediatrix Cardiology Of Orange County Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245505866 PECOS PAC ID: 5092978585 Enrollment ID: O20120521000203 |
Mailing Address | Practice Location Address |
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Ahmad Reza Ellini, MD 1010 W La Veta Ave, Suite 575, Orange, CA 92868-4300 Ph: (714) 547-0900 | Ahmad Reza Ellini, MD 1010 W La Veta Ave, Suite 575, Orange, CA 92868-4300 Ph: (714) 547-0900 |
Pei Lin Chang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-558-2462 | |
Antoine Soliman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4511 Fax: 714-289-4788 | |
Dr. Jeffrey H Ho, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4099 Fax: 714-289-4063 | |
Dr. Marita Fortades, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-532-8767 Fax: 714-289-4551 | |
Dr. Daina Dreimane, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 888-770-2462 Fax: 855-246-2329 | |
Dr. Sharief Khalil Taraman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 W La Veta Ave, Children's Hospital Of Orange County, Neurology, Orange, CA 92868 Phone: 714-509-7601 Fax: 855-246-2329 | |
Dr. Terrie E Inder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 714-509-8147 |