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Search › California › 207R00000X

Mamak Eatesam, M.D

NPI 1407139314 · on the registry since 2011 · sole proprietor

Practice

Address
62 Corporate Park Ste 145
Irvine, CA 92606
Phone
(408) 881-4177
Organisation at this address
Ellen Song Md Inc.
Chunzhu Yu Dds,Inc
Shahnaz Bonyanpoor
Coastal Image Group
Samy Younis Md, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
207R00000X
Licence states on file
IL, IN, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California