| Etehad M.D., Inc | |
|
7667 Winnetka Ave Winnetka CA 91306-2677 | |
| (818) 812-9466 | |
| Not Available |
| Full Name | Etehad M.D., Inc |
|---|---|
| Speciality | General Practice |
| Location | 7667 Winnetka Ave, Winnetka, California |
| Authorized Official Name and Position | Siamak P Etehad (PRESIDENT) |
| Authorized Official Contact | 8188129466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etehad M.D., Inc 7667 Winnetka Ave Winnetka CA 91306-2677 | Etehad M.D., Inc 7667 Winnetka Ave Winnetka CA 91306-2677 Ph: (818) 812-9466 |
| NPI Number | 1144789975 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144789975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
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