Individual
DR. HESSAM S. EFTEKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
31371 RANCHO VIEJO RD STE 104, SAN JUAN CAPISTRANO, CA 92675-1848
(949) 565-0444
(949) 565-0446
Mailing address
31371 RANCHO VIEJO RD STE 104, SAN JUAN CAPISTRANO, CA 92675-1848
(949) 565-0444
(949) 565-0446
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A9311
CA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
20A9311
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A9311
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
20A9311
CA
208U00000X
Clinical Pharmacology Physician
20A9311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX93110
—
CA
Enumeration date
08/08/2006
Last updated
04/28/2016
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