Individual
AMIR E ENTEZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(949) 677-4790
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(949) 677-4790
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A122478
CA
Other
Enumeration date
07/21/2010
Last updated
12/13/2021
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