Jamshid Maleki, MD | |
13152 Newport Ave, Suite B, Tustin, CA 92780-3469 | |
(714) 263-8600 | |
(714) 263-8601 |
Full Name | Jamshid Maleki |
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Gender | Male |
Speciality | General Practice |
Location | 13152 Newport Ave, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407879646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | A85567 (California) | Primary |
Entity Name | Imperial Primary Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598893455 PECOS PAC ID: 3476528316 Enrollment ID: O20040901001416 |
Mailing Address | Practice Location Address |
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Jamshid Maleki, MD 18902 Via Messina, Irvine, CA 92603-3408 Ph: (949) 533-3121 | Jamshid Maleki, MD 13152 Newport Ave, Suite B, Tustin, CA 92780-3469 Ph: (714) 263-8600 |
Dr. Rita Renee Ellithorpe, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 13422 Newport Ave, Suite L, Tustin, CA 92780 Phone: 714-544-1521 Fax: 714-544-1904 | |
Dr. Arturo Portales, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave, Suite 270, Tustin, CA 92780 Phone: 714-442-6642 Fax: 714-442-6652 | |
Dr. Azita Robati Hassas, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |