Organization
AMIRPASHA EHSAN MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN PACHECO (BUSINESS OFFICE MANAGER)
(562) 805-9053
Entity
Organization
Contact information
Practice address
4255 CAMPUST DR A100, 5532, IRVINE, CA 92616-5532
(949) 394-6784
Mailing address
4255 CAMPUST DR A100, 5532, IRVINE, CA 92616-5532
(949) 394-6784
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A123790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A123790
MEDICAL LICENSE
CA
Enumeration date
02/18/2015
Last updated
02/18/2015
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