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ALI R NAMAZIE MD A MEDICAL GROUP INC NPI 1104046747


NPI Information

NPI: 1104046747
Provider Name: ALI R NAMAZIE MD A MEDICAL GROUP, INC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
16661 VENTURA BLVD STE 226
ENCINO, CA
ZIP 91436
Phone: (818) 986-5500
Get Directions

ALI R NAMAZIE MD A MEDICAL GROUP, INC is a facial plastic surgery otolaryngology in Encino, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. ALI R NAMAZIE MD A MEDICAL GROUP, INC NPI is 1104046747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16661 VENTURA BLVD STE 226
ENCINO, CA
ZIP 91436-947
Phone: (818) 986-5500
Fax: (818) 986-5503

The provider's authorized official is Ali R Namazie .
The authorized official title is Practice President and has the following contact phone number (818) 986-5500.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 2/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyNo
2207YS0123XOtolaryngologyFacial Plastic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A602910MEDICAIDCALIFORNIA
200A602910OTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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