Organization
ELHAM TAEED MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELHAM TAEED MD (PRESIDENT)
(949) 548-5700
Entity
Organization
Contact information
Practice address
4950 BARRANCA PKWY STE 308, IRVINE, CA 92604-4631
(949) 548-5700
(949) 288-0254
Mailing address
4950 BARRANCA PKWY STE 308, IRVINE, CA 92604-4631
(949) 548-5700
(949) 288-0254
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
A54363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A54363
PROFESSIONAL STATE LICENSE
CA
Enumeration date
08/28/2012
Last updated
08/15/2024
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