National Provider Identifier Database

ALI R NAMAZIE MD A MEDICAL GROUP INC
Facial Plastic Surgery


Contact Information

ALI R NAMAZIE MD A MEDICAL GROUP, INC
16661 VENTURA BLVD STE 226
ENCINO, CA91436-1947
Phone: 818-986-5500
Fax: 818-986-5503
Website:
Specialty Taxonomy Code
* Facial Plastic Surgery 207YS0123X
Otolaryngology 207Y00000X

* Indicates primary specialty

NPI Profile & details for ALI R NAMAZIE MD A MEDICAL GROUP, INC

NPI Number 1104046747
Legal business name
LBN
ALI R NAMAZIE MD A MEDICAL GROUP, INC
Authorized official ALI NAMAZIE - (PRACTICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/26/2007
Last updated 02/20/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: 00A602910
  • CA Other: 00A602910 BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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