Organization
ELIASIEH MEDICAL CORPORATION
Active
Other names
Lunata
Organization subpart
No
Provider details
NPI number
Authorized official
KASRA ELIASIEH MD (OWNER)
(510) 899-7466
Entity
Organization
Contact information
Practice address
3017 TELEGRAPH AVE STE 210, BERKELEY, CA 94705-2049
(510) 899-7466
(510) 899-6024
Mailing address
3017 TELEGRAPH AVE STE 210, BERKELEY, CA 94705-2049
(510) 899-7466
(510) 899-6024
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
04/05/2024
Last updated
11/13/2024
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