Ellini, Ahmad Reza

Ellini, Ahmad Reza is an individual health care provider with primary practice located at 1010 W La Veta Ave Suite 575, Orange CA 92868-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Ellini, Ahmad Reza can be contacted via phone (714) 547-0900.

Contact Information

Primary practice address
1010 W La Veta Ave Suite 575 Orange CA 92868-4300
Phone: (714) 547-0900
Fax: (714) 547-2080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X D71188 Maryland
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A122753 California

Profile Details

NPI number 1427144666
LBN Legal business name Ellini, Ahmad Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jan 22nd, 2013 - about 11 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 1427144666 NPPES
Maryland MEDICAID 410880901

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