Hadadz, Ali
Hadadz, Ali is an sole proprietor health care provider with primary practice located at 4560 Admiralty Way Ste 303 , Marina Del Rey CA 90292-5426. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hadadz, Ali can be contacted via phone (310) 204-5510.Contact Information
Primary practice address
4560 Admiralty Way Ste 303
Marina Del Rey CA 90292-5426
Phone: (310) 204-5510
Fax: (424) 384-5053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A69816 | California |
Profile Details
| NPI number | 1316970866 |
|---|---|
| LBN Legal business name | Hadadz, Ali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Mar 2nd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316970866 | NPPES |
| California | Other | 010066259 | MEDICARE RAILROAD |
| California | Other | ZZZ05665Z | MEDICARE RAILROAD |
| California | MEDICAID | 00A698160 | MEDICARE RAILROAD |
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