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Organization
ESHAGH EZRA M.D., INC.
Active
Organization
ESHAGH EZRA M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESHAGH EZRA M.D. (OWNER)
(818) 891-5500
Entity
Organization
Contact information
Practice address
15424 NORDHOFF ST, SUITE B, NORTH HILLS, CA 91343-6951
(818) 891-5500
(818) 891-5505
Mailing address
22716 PAUL REVERE DR, CALABASAS, CA 91302-4812
(818) 891-5500
(818) 891-5505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A56249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790797835
DR. EZRA'S PERSONAL NPI
CA
Enumeration date
08/20/2006
Last updated
08/22/2020
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