# HAMID FADAVI DO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811239536
- **Authorized official:** DR. HAMID FADAVI D.O (PERSIDENT)
- **Authorized official phone:** (949) 916-8100

## Contact information

- **Practice address:** 26932 OSO PKWY, SUITE 275, MISSION VIEJO, CA 92691-5815
- **Practice address phone:** (949) 916-8100
- **Practice address fax:** (949) 916-8555
- **Mailing address:** 26932 OSO PKWY, SUITE 275, MISSION VIEJO, CA 92691-5815
- **Mailing address phone:** (949) 916-8100
- **Mailing address fax:** (949) 916-8555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A11189 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 02/10/2014