Siamak Etehad, Md, Inc. A Medical Corporation | |
17075 Devonshire St Ste 100 Northridge CA 91325-5405 | |
(800) 673-8185 | |
(310) 626-9765 |
Full Name | Siamak Etehad, Md, Inc. A Medical Corporation |
---|---|
Speciality | Internal Medicine |
Location | 17075 Devonshire St Ste 100, Northridge, California |
Authorized Official Name and Position | Siamak Pour Etehad (PRESIDENT) |
Authorized Official Contact | 8006738185 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Siamak Etehad, Md, Inc. A Medical Corporation Po Box 280636 Northridge CA 91328-0636 Ph: (800) 673-8185 | Siamak Etehad, Md, Inc. A Medical Corporation 17075 Devonshire St Ste 100 Northridge CA 91325-5405 Ph: (800) 673-8185 |
NPI Number | 1730516303 |
---|---|
Provider Enumeration Date | 09/27/2013 |
Last Update Date | 09/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730516303 | NPI | - | NPPES |
00A437140 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A43714 (California) | Primary |
Siamak Etehad Md Inc A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17075 Devonshire St, #100, Northridge, CA 91325 Phone: 818-363-2077 Fax: 818-363-2055 | |
Walid S Arnaout Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18250 Roscoe Blvd Ste 220, Northridge, CA 91325 Phone: 818-280-3901 Fax: 805-379-9695 | |
Moore Care Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8860 Corbin Ave, Ste 386, Northridge, CA 91324 Phone: 818-428-7521 | |
Rahil Khan Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8349 Reseda Blvd, Northridge, CA 91324 Phone: 818-280-6816 Fax: 818-280-6859 | |