Healthcare Provider Details

I. General information

NPI: 1831732791
Provider Name (Legal Business Name): SAEED ESHRAGHI, M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 10/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 SUPERIOR AVE STE 214
NEWPORT BEACH CA
92663-3639
US

IV. Provider business mailing address

971 S JAY CIR
ANAHEIM CA
92808-2105
US

V. Phone/Fax

Practice location:
  • Phone: 714-833-6281
  • Fax: 949-326-0608
Mailing address:
  • Phone: 310-467-8353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAEED ESHRAGHI
Title or Position: MD/ CEO
Credential: MD
Phone: 310-467-8353