Healthcare Provider Details

I. General information

NPI: 1528277233
Provider Name (Legal Business Name): NAHID ESKANDARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 03/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17822 BEACH BLVD SUITE 442
HUNTINGTON BEACH CA
92647-7101
US

IV. Provider business mailing address

7 MORNING VW
IRVINE CA
92603-3716
US

V. Phone/Fax

Practice location:
  • Phone: 714-847-8113
  • Fax: 714-842-2497
Mailing address:
  • Phone: 714-847-8113
  • Fax: 714-842-2497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA102766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: