Healthcare Provider Details

I. General information

NPI: 1740101773
Provider Name (Legal Business Name): ETHOS MED-LEGAL EVALUATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 WARNER AVE STE 140
FOUNTAIN VALLEY CA
92708-3209
US

IV. Provider business mailing address

6789 QUAIL HILL PKWY STE 409
IRVINE CA
92603-4233
US

V. Phone/Fax

Practice location:
  • Phone: 855-802-4646
  • Fax: 888-873-1843
Mailing address:
  • Phone: 855-802-4646
  • Fax: 888-873-1843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ZAFAR KHAN
Title or Position: OWNER
Credential: MD
Phone: 949-510-1191