Organization
FARBOD ESMAILIAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARBOD ESMAILIAN M.D. (PRESIDENT/PHYSICIAN)
(562) 430-7373
Entity
Organization
Contact information
Practice address
10861 CHERRY ST, SUITE 108, LOS ALAMITOS, CA 90720-5402
(562) 430-7373
(951) 272-9924
Mailing address
10861 CHERRY ST, SUITE 108, LOS ALAMITOS, CA 90720-5402
(562) 430-7373
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A74047
CA
208600000X
Surgery Physician
A74047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A74047
CA MEDICAL LICENSE
CA
Enumeration date
08/15/2011
Last updated
06/13/2013
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