Etehad M.d., INC

NPI #1144789975 in Winnetka, California

Provider Information

NPI Number: 1144789975
Entity Type: Organization
Organization Name: Etehad M.d., INC
Primary Specialty: General Practice
Enumeration Date: Mar 19, 2019
Last Updated: Mar 19, 2019

Practice Location

Address: 7667 WINNETKA AVE
City: Winnetka
State: California
ZIP Code: 91306-2677
Phone: (818) 812-9466

Authorized Official

Name: SIAMAK P ETEHAD, MD
Title: PRESIDENT
Phone: (818) 812-9466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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