# KEYVAN ESMAEILI M D INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KEYVAN ESMAEILI M D INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811147531
- **Authorized official:** DR. KEYVAN ESMAEILI MD (OWNER)
- **Authorized official phone:** (714) 373-0881

## Contact information

- **Practice address:** 215 S HICKORY ST STE 118, ESCONDIDO, CA 92025-4304
- **Practice address phone:** (714) 373-0881
- **Mailing address:** PO BOX 1895, ESCONDIDO, CA 92033-1895
- **Mailing address phone:** (714) 373-0881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A72887 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 03/27/2009