Fadavi, Hamid R

Fadavi, Hamid R is an sole proprietor health care provider with primary practice located at 26932 Oso Pkwy Suite 275, Mission Viejo CA 92691-5815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Fadavi, Hamid R can be contacted via phone (949) 916-8100.

Contact Information

Primary practice address
26932 Oso Pkwy Suite 275 Mission Viejo CA 92691-5815
Phone: (949) 916-8100
Fax: (949) 916-8555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 1080 DO Alabama
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 20A11189 California

Profile Details

NPI number 1477787034
LBN Legal business name Fadavi, Hamid R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2009
Last updated Feb 12th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477787034 NPPES
Other CB207387 PTAN

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