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NPI 1831732791

NPI 1831732791 : SAEED ESHRAGHI, M.D. INC. : NEWPORT BEACH, CA

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General NPI Number Information
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    NPI Number           |    1831732791
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAEED ESHRAGHI, M.D. INC. 
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Dates
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    Enumeration Date     |    10/23/2019
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    Last Update Date     |    10/23/2019
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Provider Practice Location Address
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    Address Line         |    1525 SUPERIOR AVE STE 214 
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    City                 |    NEWPORT BEACH
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    State                |    CA
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    Zip                  |    92663-3639
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    Country              |    US
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    Telephone            |    714-833-6281
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    Fax                  |    949-326-0608
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Provider Business Mailing Address
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    Address Line         |    971 S JAY CIR 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92808-2105
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    Country              |    US
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    Telephone            |    310-467-8353
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MD/ CEO
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    Name                 |    DR. SAEED  ESHRAGHI 
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    Credential           |    MD
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    Telephone            |    310-467-8353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    
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    License Number State |    
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