Dr. Mashallah Ezzati
General Practice Physician Family Doctor - Addiction Medicine
23361 El Toro Rd 107
Lake Forest
, California 92630-6922
Dr. Mashallah Ezzati
General Practice Physician Family Doctor - Addiction Medicine
23361 El Toro Rd 107
Lake Forest
, California 92630-6922
(949) 305-9500
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Mashallah Ezzati
- 23361 El Toro Rd 107
- Lake Forest, CA
- Zip : 92630-6922
- Fax : (949) 305-9500
- Phone : (949) 235-9818
Second Address
- Dr. Mashallah Ezzati
- 23361 El Toro Rd 107
- Lake Forest, CA
- Zip : 92630-6922
- Fax : (949) 305-9500
- Phone : (949) 235-9818
Reviews
FAQs
Where did Dr. Mashallah Ezzati attend graduate school?
Where did Dr. Mashallah Ezzati do his residency?
Where did Dr. Mashallah Ezzati do his fellowship?
Is Dr. Mashallah Ezzati board certified?
What type of doctor is Dr. Mashallah Ezzati
In what state does Dr. Mashallah Ezzati practice in?
Where is Dr. Mashallah Ezzati ’s practice located?
What is Dr. Mashallah Ezzati ’s gender?
Is Dr. Mashallah Ezzati a sole practitioner?
Is Dr. Mashallah Ezzati accepting new patients?
What languages does Dr. Mashallah Ezzati speak?
Does Dr. Mashallah Ezzati accept insurance?
Does Dr. Mashallah Ezzati offers telemedicine?
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What is Dr. Mashallah Ezzati ’s NPI number?
Does Dr. Mashallah Ezzati have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | C42933 | CA |
| Y | 208D00000X | General Practice Physician | C42933 | CA |
National Provider Identifier
| NPI | 1023011087 |
|---|---|
| Provider Name | Dr. Mashallah Ezzati |
| First Address | Lake Forest, CA 92630-6922 |
| Second Address | Lake Forest, CA 92630-6922 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2005 |
| Last Update Date | 30/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D88167 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.