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Organization

ESRAFIL ABEDI, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESRAFIL ABEDI MD (CEO)
(949) 470-0600
Entity
Organization

Contact information

Practice address
23961 CALLE DE LA MAGDALENA, #430, LAGUNA HILLS, CA 92653-3616
(949) 470-0600
(949) 830-1096
Mailing address
23961 CALLE DE LA MAGDALENA, #430, LAGUNA HILLS, CA 92653-3616
(949) 470-0600
(949) 830-1096

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A30818
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A308180
CA
Enumeration date
05/10/2012
Last updated
05/10/2012
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