| Ashkan Etemadian Md Inc | |
|
1 Hoag Dr Newport Beach CA 92663-4162 | |
| (949) 764-4624 | |
| Not Available |
| Full Name | Ashkan Etemadian Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Hoag Dr, Newport Beach, California |
| Authorized Official Name and Position | Ashkan Etemadian (PRESIDENT) |
| Authorized Official Contact | 9497012973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashkan Etemadian Md Inc 32565 B Golden Lantern #167 Dana Point CA 92629 Ph: (949) 701-2973 | Ashkan Etemadian Md Inc 1 Hoag Dr Newport Beach CA 92663-4162 Ph: (949) 764-4624 |
| NPI Number | 1508158783 |
|---|---|
| Provider Enumeration Date | 05/06/2011 |
| Last Update Date | 05/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508158783 | NPI | - | NPPES |
| A105385 | Other | CA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A105385 (California) | Primary |
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Sos Children & Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 Placentia Ave Ste 107, Newport Beach, CA 92663 Phone: 949-270-2100 Fax: 949-650-4458 | |
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