Nashed, Ezzat A
Nashed, Ezzat A is an sole proprietor health care provider with primary practice located at 16200 Bear Valley Rd Ste 102, Victorville CA 92395-8764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nashed, Ezzat A can be contacted via phone (760) 962-0077.Contact Information
Primary practice address
16200 Bear Valley Rd Ste 102
Victorville CA 92395-8764
Phone: (760) 962-0077
Fax: (760) 967-1098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A48771 | California |
Profile Details
| NPI number | 1336106640 |
|---|---|
| LBN Legal business name | Nashed, Ezzat A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1336106640 | NPPES |
| California | MEDICAID | 00A487713 | |
| California | Other | A48771 |
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