Dr. Mashallah Ezzati, MD
General Practice Physician in Lake Forest, California
NPI 1023011087

Mashallah Ezzati is a General Practice Physician based in Lake Forest, CA. 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 at949-305-9500. You can also correspond with Mashallah Ezzati through the mailing address at 23361 EL TORO RD, LAKE FOREST, CA - 92630-6922 (mailing address contact number: 949-235-9818).

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
08/30/2010
institution
Provider Business Practice Location Address Details
Address
23361 El Toro Rd
City
Lake Forest
State
California
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
Lake Forest
State
California
Zip
92630-6922
Phone Number
949-235-9818
Fax Number
949-305-9500
person
Provider's Primary Taxonomy Details
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C42933 (California)
Definition
Definition to come...