Individual
ALI R NAMAZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16661 VENTURA BLVD STE 226, ENCINO, CA 91436-1947
(818) 986-5500
(818) 986-5503
Mailing address
4955 VAN NUYS BLVD, #505, SHERMAN OAKS, CA 91403-5436
(818) 986-5500
(818) 986-5503
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A60291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A602910
BLUE SHIELD
CA
05
—
00A602910
—
CA
Enumeration date
01/10/2006
Last updated
02/20/2020
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