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
Fax: (949) 759-1442
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1174659767 NPPES
California MEDICAID 00A563950

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