| Dariush S. Lavi, M.d., Inc. | |
|
1503 S Coast Dr Suite 109 Costa Mesa CA 92626-1534 | |
| (714) 585-1842 | |
| Not Available |
| Full Name | Dariush S. Lavi, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1503 S Coast Dr, Costa Mesa, California |
| Authorized Official Name and Position | Dariush Lavi (PHYSICIAN) |
| Authorized Official Contact | 7145851842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dariush S. Lavi, M.d., Inc. 1503 S Coast Dr Suite 109 Costa Mesa CA 92626-1534 Ph: (714) 585-1842 | Dariush S. Lavi, M.d., Inc. 1503 S Coast Dr Suite 109 Costa Mesa CA 92626-1534 Ph: (714) 585-1842 |
| NPI Number | 1396165783 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 7113140757 |
|---|---|
| Medicare Enrollment ID | O20140528002282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396165783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70042 (California) | Primary |
| Provider Name | Dariush S Lavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750449062 PECOS PAC ID: 0749182202 Enrollment ID: I20040123001013 |
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