person
Dr. Mashallah Ezzati, MD
Addiction Medicine (Family Medicine) Physician in Lake Forest, California
NPI 1023011087

Mashallah Ezzati is an Addiction Medicine (Family Medicine) Physician based in Lake Forest, CA and is specialized in Addiction Medicine. Mashallah Ezzati practices in Lake Forest, CA and has the professional credentials of MD. The NPI Number for Mashallah Ezzati is 1023011087 and holds a License No. C42933 (California).

The current practice location address for Mashallah Ezzati is 23361 El Toro Rd, Lake Forest, CA and can be reached out via phone at 949-235-9818 and via fax at 949-305-9500.

Location: 23361 El Toro Rd, Lake Forest, CA, 92630-6922
person
Provider Profile Details
NPI Number
1023011087
Provider Name
Mashallah Ezzati
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
23361 El Toro Rd, Lake Forest, CA, 92630-6922
Phone Number
949-235-9818
Fax Number
949-305-9500
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
23361 El Toro Rd
City
State
Zip
92630-6922
Phone Number
949-235-9818
Fax Number
949-305-9500
person
Provider Business Mailing Address Details
Address
23361 El Toro Rd
City
State
Zip
92630-6922
Phone Number
949-235-9818
Fax Number
949-305-9500
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
C42933 (California)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
C42933 (California)
Definition
Definition to come...
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