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LEILA M. IRAVANI M.D. INC NPI 1255584769


NPI Information

NPI: 1255584769
Provider Name: LEILA M. IRAVANI, M.D., INC

Doing Business As: TOTAL PEDIATRICS OF ORANGE COUNTY

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 05D1093617

Address:
1640 NEWPORT BLVD
SUITE 320
COSTA MESA, CA
ZIP 92627
Phone: (949) 261-7337
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LEILA M. IRAVANI, M.D., INC is an adolescent medicine pediatrics in Costa Mesa, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. LEILA M. IRAVANI, M.D., INC NPI is 1255584769. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Total Pediatrics Of Orange County.

The provider's business location address is:

1640 NEWPORT BLVD
SUITE 320
COSTA MESA, CA
ZIP 92627-786
Phone: (949) 261-7337

The provider's authorized official is Leila Iravani .
The authorized official title is Ceo/president and has the following contact phone number (714) 881-4815.

The CLIA number assigned to this NPI record is 05D1093617 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineA73865CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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