Ezzati, Mashallah

Ezzati, Mashallah is an individual health care provider with primary practice located at 23361 El Toro Rd 107, Lake Forest CA 92630-6922. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ezzati, Mashallah can be contacted via phone (949) 235-9818.

Contact Information

Primary practice address
23361 El Toro Rd 107 Lake Forest CA 92630-6922
Phone: (949) 235-9818
Fax: (949) 305-9500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C42933 California
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X C42933 California

Profile Details

NPI number 1023011087
LBN Legal business name Ezzati, Mashallah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 30th, 2010 - about 15 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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