Organization
KEYVAN ESMAEILI M D INC
Active
Other names
KEYVAN ESMAEILI M D INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYVAN ESMAEILI MD (OWNER)
(714) 373-0881
Entity
Organization
Contact information
Practice address
215 S HICKORY ST STE 118, ESCONDIDO, CA 92025-4304
(714) 373-0881
Mailing address
PO BOX 1895, ESCONDIDO, CA 92033-1895
(714) 373-0881
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A72887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A728870
—
CA
Enumeration date
09/30/2008
Last updated
03/27/2009
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