Provider Demographics
NPI:1518626878
Name:EZTELEMD, LLC
Entity Type:Organization
Organization Name:EZTELEMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FUAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BICER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-665-9136
Mailing Address - Street 1:6338 SNIDER RD UNIT 971
Mailing Address - Street 2:5040
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:232 LAS PALMAS DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-2312
Practice Address - Country:US
Practice Address - Phone:949-665-9136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty