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Individual

EDDIE ELIAS FEGHALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2840 E CORONADO ST, ANAHEIM, CA 92806-2503
(951) 454-2536
Mailing address
2650 FLORA SPIEGEL WAY, CORONA, CA 92881-3560
(951) 454-2536

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
CA

Other

Enumeration date
12/20/2019
Last updated
12/20/2019
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Product
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  • EDI platform