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EHSAN MONTAZERI MD
NPI 1417038258
Family Medicine in Wilmington, CA

Active since October 18, 2006
1231 N AVALON BLVD, WILMINGTON, CA 90744(301) 835-7215(301) 835-6520 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ehsan Montazeri Md NPPES

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

EHSAN MONTAZERI MD (NPI 1417038258) is an individual family medicine provider in Wilmington, California, licensed in California (A36341) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417038258
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEHSAN MONTAZERICredential: MD
Location Address1231 N AVALON BLVDWilmington, CA 90744
Mailing Address1231 N Avalon BlvdWilmington, CA 90744 · (301) 835-7215 · Fax (301) 835-6520
Phone(301) 835-7215
Fax(301) 835-6520
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateApril 1, 2013
✔ NPI 1417038258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A36341
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1231 N AVALON BLVD, Wilmington, CA 90744
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Other Identifiers 3

Medicare ID-Type UnspecifiedW14401CA
Medicare ID-Type UnspecifiedGR0084030CA
Medicare UPINA84874

Other Providers at the Same Location NPPES 4

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

COMPLETE CARE FAMILY MEDICAL CLINIC
Family Medicine
1231 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 835-5000
GAM NGUYEN HONG PHAM PA-C
Family Medicine
1231 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 835-5000
AIMI TON PA-C
Physician Assistant (Medical)
1231 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 835-5000
COMPLETE CARE FAMILY MEDICAL CLINIC
Family Medicine
1231 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 835-7215

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 Ehsan Montazeri's NPI number?

The NPI number for Ehsan Montazeri is 1417038258. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Ehsan Montazeri located?

Ehsan Montazeri practices at 1231 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (301) 835-7215.

What is Ehsan Montazeri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ehsan Montazeri was last updated on April 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.