Siamak Etehad, Md, Inc. A Medical Corporation

Internal Medicine · Northridge, CA

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At a glance

17075 Devonshire St Ste 100, Northridge, CA 91325-5405

NPPES record updated Sep 27, 2013. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

17075 Devonshire St Ste 100
Northridge, CA 91325-5405
Professional details: NPI, taxonomy & registry record
NPI1730516303
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Registry details

Primary taxonomy
Internal Medicine
Taxonomy code
207R00000X
Enumeration date
Sep 27, 2013
Record updated
Sep 27, 2013
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Internal Medicine

207R00000X · Primary

License reported: A43714 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

17075 Devonshire St Ste 100
Northridge, CA 91325-5405
Phone
(800) 673-8185
Fax
(310) 626-9765
Mailing address
PO BOX 280636

NORTHRIDGE, CA 913280636
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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