DR. MASHALLAH EZZATI, M.D
General Practice
Active
Individual
NPI: 1023011087
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | C42933 (CA) |
| Family Medicine - Addiction Medicine | 207QA0401X | No | C42933 (CA) |
Frequently Asked Questions
NPI 1023011087 is the National Provider Identifier for DR. MASHALLAH EZZATI, M.D, a General Practice provider located in Lake Forest, CA. This NPI was enumerated on May 24, 2005.
DR. MASHALLAH EZZATI, M.D practices at 23361 EL TORO RD, 107, Lake Forest, CA 92630.
Quick Facts
- NPI
- 1023011087
- Type
- Individual
- Enumerated
- May 24, 2005
- Last Updated
- Aug 30, 2010
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