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Shahla P Rahmatullah M.d. Inc
Medical Specialty Clinic/Center in Irvine, California
NPI 1922296854

Shahla P Rahmatullah M.d. Inc is a Medical Specialty Clinic/Center based in Newport Beach, CA and is specialized in Medical Specialty. Shahla P Rahmatullah M.d. Inc practices in Irvine, CA. The NPI Number for Shahla P Rahmatullah M.d. Inc is 1922296854 and holds a License No. 00C519930 (California).

The current practice location address for Shahla P Rahmatullah M.d. Inc is 4870 Barranca Pkwy Ste 230, Irvine, CA and can be reached out via phone at 949-653-1300 and via fax at 949-653-1311.

Location: 4870 Barranca Pkwy Ste 230, Irvine, CA, 92663-4120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922296854
Provider Name
Shahla P Rahmatullah M.d. Inc
Credential
Provider Entity Type
Organization
Address
4870 Barranca Pkwy Ste 230, Irvine, CA, 92663-4120
Phone Number
949-653-1300
Fax Number
949-653-1311
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C519930 05 CA
institution
Provider Business Practice Location Address Details
Address
4870 Barranca Pkwy Ste 230
City
Irvine
State
California
Zip
92604-4788
Phone Number
949-653-1300
Fax Number
949-653-1311
person
Provider Business Mailing Address Details
Address
4870 Barranca Pkwy Ste 230
City
Irvine
State
California
Zip
92604-4788
Phone Number
949-653-1300
Fax Number
949-653-1311
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
00C519930 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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