Entezari, Tokameh
Entezari, Tokameh is an individual health care provider with primary practice located at 17360 Brookhurst St , Fountain Valley CA 92708-3720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Entezari, Tokameh can be contacted via phone (949) 340-9530.Contact Information
Primary practice address
17360 Brookhurst St
Fountain Valley CA 92708-3720
Phone: (949) 340-9530
Fax: (714) 665-4680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 12746 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12746 | Nevada |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C155796 | California |
Profile Details
| NPI number | 1669599825 |
|---|---|
| LBN Legal business name | Entezari, Tokameh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Dec 12th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669599825 | NPPES |
| Other | 12139964 | CAQH |
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