A. Etemadi Md, Inc.

LBN: A. Etemadi Md, Inc.
A. Etemadi Md, Inc. is an health care organization with primary practice located at 24881 Alicia Pkwy Ste N , Laguna Hills CA 92653-4617. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. A. Etemadi Md, Inc. can be contacted via phone (949) 510-2259, or through Lewis, Shahnaz via phone (949) 495-1416.

Contact Information

Primary practice address
24881 Alicia Pkwy Ste N Laguna Hills CA 92653-4617
Phone: (949) 510-2259
Fax: (949) 388-3336
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Shahnaz
Phone: (949) 495-1416

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G67093 California

Profile Details

NPI number 1497993562
LBN Legal business name A. Etemadi Md, Inc.
DBA Doing business as
Authorized official Lewis, Shahnaz
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2009
Last updated Feb 9th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497993562 NPPES
California MEDICAID 00G670930
California Other G67093
California Other ZZZ56190Y

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