Iravani, Leila M
Iravani, Leila M is an sole proprietor health care provider with primary practice located at 1401 Avocado Ave Ste 709 , Newport Beach CA 92660-8714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Iravani, Leila M can be contacted via phone (949) 759-1720.Contact Information
Primary practice address
1401 Avocado Ave Ste 709
Newport Beach CA 92660-8714
Phone: (949) 759-1720
Fax: (949) 759-1442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A56395 | California |
Profile Details
| NPI number | 1174659767 |
|---|---|
| LBN Legal business name | Iravani, Leila M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174659767 | NPPES |
| California | MEDICAID | 00A563950 |
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