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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 Specialty Code Provider Type

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

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

NPI Number 1104046747
LBN Legal business name ALI R NAMAZIE MD A MEDICAL GROUP, INC
Authorized official ALI NAMAZIE - (PRACTICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2007
Last updated 02/20/2020 - About 6 years ago
Identifiers
CA Medicaid 00A602910
CA Other 00A602910 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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