Individual
ELNAZ MALEKAHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SUPERIOR AVE STE 205, NEWPORT BEACH, CA 92663-3640
(949) 642-4974
Mailing address
1501 SUPERIOR AVE STE 205, NEWPORT BEACH, CA 92663-3640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009768
CA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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