Fareed Entezar

NPI 1619443835 · on the registry since 2018

Practice

Address: 14642 Newport Ave
Tustin, CA 92780
Phone: (714) 669-4000
Fax: (714) 669-4484
Organisation at this address: Vir, Inc.
Tariq Ali Khan Md
Charles Kim Md Inc
Richard Lin Do Inc
Albert S Goh Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-10-15

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