Etehad M.d., INC

NPI #1891341871 in Winnetka, California

Provider Information

NPI Number
1891341871
Entity Type
Organization
Organization Name
Etehad M.d., INC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Aug 14, 2019
Last Updated
Aug 14, 2019

Practice Location

Address
7667 WINNETKA AVE
ZIP Code
91306-2677
Phone
(818) 812-9466

Authorized Official

Name
DR. SIAMAK ETEHAD, MD
Title
MEDICAL DIRECTOR
Phone
(818) 812-9466

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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