Ezzat, Mona M.
Ezzat, Mona M. is an individual health care provider with primary practice located at 9850 Genesee Ave Ste 320 , La Jolla CA 92037-1208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ezzat, Mona M. can be contacted via phone (858) 554-1212.Contact Information
Primary practice address
9850 Genesee Ave Ste 320
La Jolla CA 92037-1208
Phone: (858) 554-1212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A76556 | California |
Profile Details
| NPI number | 1902844939 |
|---|---|
| LBN Legal business name | Ezzat, Mona M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 11th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902844939 | NPPES |
| California | MEDICAID | 00A765560 |
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