MEDICARE: DR. NADER OSKOOILAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A48369	CA

General Provider Information

NPI Number	:	1336144872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADER OSKOOILAR MD

Provider Business Mailing Address
First Line	:	1601 DOVE ST
Second Line	:	290
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2433
Country	:	US
Telephone Number	:	949-244-7518
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 DOVE ST
Second Line	:	290
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2433
Country	:	US
Telephone Number	:	949-244-7518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	10/15/2011

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