1326038605 NPI number — DR. KAMRAN HAMIDI MD

Table of content: DR. KAMRAN HAMIDI MD (NPI 1326038605)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326038605 NPI number — DR. KAMRAN HAMIDI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMIDI
Provider First Name:
KAMRAN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAMIDI ASL
Provider Other First Name:
KAMRAN
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1326038605
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5482 WILSHIRE BLVD # 1535
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90036-4218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-201-2871
Provider Business Mailing Address Fax Number:
877-916-9777

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31852 COAST HWY
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
LAGUNA BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92651-6764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-201-2871
Provider Business Practice Location Address Fax Number:
877-916-9777
Provider Enumeration Date:
10/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X , with the licence number:  A85217 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01055028A . This is a "INDIANA MEDICAL LICENSE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 1992815047 . This is a "SINA INFECTIOUS GROUP NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1326038605 . This is a "NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: WA 85217A . This is a "PERSONAL ID NUMBER" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com