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DR. MASHALLAH EZZATI M.D
NPI 1023011087
General Practice in Lake Forest, CA

Active since May 24, 2005
23361 EL TORO RD, 107, LAKE FOREST, CA 92630(949) 235-9818(949) 305-9500 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mashallah Ezzati M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MASHALLAH EZZATI M.D (NPI 1023011087) is an individual general practice provider in Lake Forest, California, licensed in California (C42933) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1023011087
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MASHALLAH EZZATICredential: M.D
Location Address23361 EL TORO RD, 107Lake Forest, CA 92630-6922
Mailing Address23361 El Toro Rd, 107Lake Forest, CA 92630-6922 · (949) 235-9818 · Fax (949) 305-9500
Phone(949) 235-9818
Fax(949) 305-9500
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateAugust 30, 2010
✔ NPI 1023011087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · C42933
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License C42933 (CA)
23361 EL TORO RD, Lake Forest, CA 92630
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Other Identifiers 2

Medicare UPIND88167MA
Medicare ID-Type UnspecifiedJ02945MA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CY ACUPUNCTURE WELLNESS CENTER
Clinic/Center (Pain)
23361 EL TORO RD, SUITE 108
LAKE FOREST, CA 92630
Orange County (949) 679-1919
DR. JUNG-JOO KIM D.C.
Chiropractor (Nutrition)
23361 EL TORO RD, 112
LAKE FOREST, CA 92630
Orange County (949) 586-5205
DR. JAMES KUECHLER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
23361 EL TORO RD, STE. # 220
LAKE FOREST, CA 92630
Orange County (949) 770-3145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mashallah Ezzati's NPI number?

The NPI number for Mashallah Ezzati is 1023011087. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Mashallah Ezzati located?

Mashallah Ezzati practices at 23361 El Toro Rd 107, Lake Forest, CA 92630. The listed phone number is (949) 235-9818.

What is Mashallah Ezzati's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mashallah Ezzati was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.