Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | A101402 | CA |
NPI | 1063662682 |
---|---|
Provider Name | Dr. Hamid Eskandari |
First Address | Foothill Ranch, CA 92610-2857 |
Second Address | Foothill Ranch, CA 92610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 20/07/2018 |