Mashallah Ezzati in Lake Forest - Addiction Medicine

Mashallah Ezzati - NPI 1023011087

Mashallah Ezzati is a Addiction Medicine in Lake Forest, California. Mashallah Ezzati practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Mashallah Ezzati is 1023011087. The last update date is 2010-08-30.

Mashallah Ezzati's current location address is 23361 El Toro Rd, Lake Forest, California. You can contact this provider via phone number 9492359818 and fax number 9493059500. The mailing address for Mashallah Ezzati is 23361 El Toro Rd, Lake Forest, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mashallah Ezzati
Address 23361 El Toro Rd, Lake Forest, California
Phone Number 9492359818
Fax Number 9493059500
Sole Proprietor N
Credentials M.D

NPI Number Detail

NPI Number 1023011087
Provider Enumeration Date 2005-05-24
Last Updated Date 2010-08-30

Provider Mailing Address Detail

Address 23361 El Toro Rd
City Lake Forest
State California (CA)
Post Code 9263069220
Phone Number 9492359818
Fax Number 9493059500

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Qa0401X
Licence No C42933
Definition:
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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FAQs about Mashallah Ezzati

What is the unique provider identifier assigned to Mashallah Ezzati?

The Mashallah Ezzati has been issued the NPI (National Provider Identifier) 1023011087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Mashallah Ezzati?

The Mashallah Ezzati is situated at 23361 El Toro Rd, in the city of Lake Forest, state of CA, with the zip code 9263069220.

What is Mashallah Ezzati's area of expertise and its corresponding taxonomy classification?

The Mashallah Ezzati's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Qa0401X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1023011087 to Mashallah Ezzati?

The Centers for Medicare & Medicaid Services assigned the 1023011087 to Mashallah Ezzati on 2005-05-24.

As of what date was the information pertaining to Mashallah Ezzati, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mashallah Ezzati, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-30.

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