| Shahla Heshmati M.d., Inc. | |
|
15785 Laguna Canyon Rd Ste 250 Irvine CA 92618-3179 | |
| (949) 726-1100 | |
| Not Available |
| Full Name | Shahla Heshmati M.d., Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15785 Laguna Canyon Rd Ste 250, Irvine, California |
| Authorized Official Name and Position | Shahla Heshmati (PRESIDENT) |
| Authorized Official Contact | 9497261100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahla Heshmati M.d., Inc. Po Box 4084 Tustin CA 92781-4084 Ph: (949) 726-1100 | Shahla Heshmati M.d., Inc. 15785 Laguna Canyon Rd Ste 250 Irvine CA 92618-3179 Ph: (949) 726-1100 |
| NPI Number | 1306153382 |
|---|---|
| Provider Enumeration Date | 09/11/2010 |
| Last Update Date | 09/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306153382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A50416 (California) | Primary |
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