Organization
ETEBAR MEDICAL CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIN ETEBAR M.D. (PRESIDENT)
(760) 346-8058
Entity
Organization
Contact information
Practice address
73710 ALESSANDRO DR, PALM DESERT, CA 92260-3638
(760) 346-8058
(417) 890-9127
Mailing address
PO BOX 1269, RANCHO MIRAGE, CA 92270-1053
(760) 346-8058
(417) 890-9127
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G72753
CA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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