Organization · NPI-2

Esrafil Abedi, MD

Otolaryngology, Otolaryngology/Facial Plastic Surgery · Laguna Hills, CA

NPI number1508125592
StatusActive
Last updated in NPPESMay 10, 2012

Details

NPI
1508125592
Entity type
Organization (NPI-2)
Legal business name
Esrafil Abedi, MD
Organization subpart
No
Enumeration date
May 10, 2012
Last updated
May 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic SurgeryA30818CAYes

Practice location

23961 Calle De La Magdalena
#430
Laguna Hills, CA 92653-3616

Phone 949-470-0600 · Fax 949-830-1096

Mailing address

23961 Calle De La Magdalena
#430
Laguna Hills, CA 92653-3616

Phone 949-470-0600 · Fax 949-830-1096

Authorized official

Esrafil Abedi
Ceo
9494700600

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