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Contact Information

EHSAN MONTAZERI, MD
1231 N AVALON BLVD
WILMINGTON, CA90744
 Phone: 301-835-7215
 Fax: 301-835-6520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EHSAN MONTAZERI · (Male)

NPI Number 1417038258
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 04/01/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A36341
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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