Eftekhari, Hessam S.

Eftekhari, Hessam S. is an individual health care provider with primary practice located at 31371 Rancho Viejo Rd Ste 104 , San Juan Capistrano CA 92675-1848. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Clinical Pharmacology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Eftekhari, Hessam S. can be contacted via phone (949) 565-0444.

Contact Information

Primary practice address
31371 Rancho Viejo Rd Ste 104 San Juan Capistrano CA 92675-1848
Fax: (949) 565-0446
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20A9311 California
Allopathic & Osteopathic Physicians / Clinical Pharmacology 208U00000X 20A9311 California
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 20A9311 California
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 20A9311 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 20A9311 California

Profile Details

NPI number 1649280272
LBN Legal business name Eftekhari, Hessam S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 28th, 2016 - 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 1649280272 NPPES
California MEDICAID 00AX93110

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