# ELHAM TAEED MD A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295083939
- **Authorized official:** ELHAM TAEED MD (PRESIDENT)
- **Authorized official phone:** (949) 548-5700

## Contact information

- **Practice address:** 4950 BARRANCA PKWY STE 308, IRVINE, CA 92604-4631
- **Practice address phone:** (949) 548-5700
- **Practice address fax:** (949) 288-0254
- **Mailing address:** 4950 BARRANCA PKWY STE 308, IRVINE, CA 92604-4631
- **Mailing address phone:** (949) 548-5700
- **Mailing address fax:** (949) 288-0254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | A54363 | CA | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A54363 | PROFESSIONAL STATE LICENSE | CA |