Ezra, Eshagh

Ezra, Eshagh is an sole proprietor health care provider with primary practice located at 15424 Nordhoff St Suite B, North Hills CA 91343-6951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ezra, Eshagh can be contacted via phone (818) 891-5500.

Contact Information

Primary practice address
15424 Nordhoff St Suite B North Hills CA 91343-6951
Fax: (818) 891-5505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A56249 California

Profile Details

NPI number 1790797835
LBN Legal business name Ezra, Eshagh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Feb 8th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790797835 NPPES
California MEDICAID 00A562490

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