Dr. Mashallah Ezzati, MD
Dr. Mashallah Ezzati, MD is a General Practice Physician in Lake Forest, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
23361 El Toro Rd 107Lake Forest, CA 92630-6922
Phone: (949) 235-9818
Fax: (949) 305-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence C42933 (CA) |
|---|---|
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X · Licence C42933 (CA) |
Record details
| NPI number | 1023011087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 24, 2005 |
| Last updated in NPPES | August 30, 2010 |
| Mailing address | 23361 El Toro Rd, 107, Lake Forest, CA 92630-6922 |
Other providers in Lake Forest
-
Medpull LLC
20505 Crescent Bay Dr, Lake Forest, CA 92630-8825 · (949) 317-0345