| Jamshid Maleki, MD | |
|
13152 Newport Ave, Suite B, Tustin, CA 92780-3469 | |
| (714) 263-8600 | |
| (714) 263-8601 |
| Full Name | Jamshid Maleki |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 13152 Newport Ave, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407879646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A85567 (California) | Primary |
| Entity Name | Imperial Primary Care Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598893455 PECOS PAC ID: 3476528316 Enrollment ID: O20040901001416 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamshid Maleki, MD 18902 Via Messina, Irvine, CA 92603-3408 Ph: (949) 533-3121 | Jamshid Maleki, MD 13152 Newport Ave, Suite B, Tustin, CA 92780-3469 Ph: (714) 263-8600 |
Dr. Rita Renee Ellithorpe, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 13422 Newport Ave, Suite L, Tustin, CA 92780 Phone: 714-544-1521 Fax: 714-544-1904 | |
Dr. Erkan Ereren, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 13031 Newport Ave. Suite 116, # 605, Tustin, CA 92780 Phone: 714-333-5278 | |
Thanh Gia Phung, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 | |
Dr. Azita Robati Hassas, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |