Ettefagh, Leila

Ettefagh, Leila is an individual health care provider with primary practice located at 360 San Miguel Dr Suite 501, Newport Beach CA 92660-7853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ettefagh, Leila can be contacted via phone (949) 720-1170.

Contact Information

Primary practice address
360 San Miguel Dr Suite 501 Newport Beach CA 92660-7853
Phone: (949) 720-1170
Fax: (949) 720-1172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A89632 California

Profile Details

NPI number 1881643724
LBN Legal business name Ettefagh, Leila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Feb 15th, 2012 - about 14 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.

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