Dr. Hotosa Ebrahimzadeh, M.D.
Family Medicine in San Clemente, CA. Individual provider (NPI-1).
NPI number1891722336
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1891722336
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hotosa Ebrahimzadeh
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A65097 | CA | Yes |
Practice location
150 Avenida CabrilloSuite #a
San Clemente, CA 92672
Phone 949-369-6993 · Fax 949-369-6469
Mailing address
150 Avenida CabrilloSuite #a
San Clemente, CA 92672
Phone 949-369-6993 · Fax 949-369-6469
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