Individual
HANIFFA M MAZNAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3791 KATELLA AVE STE 101, LOS ALAMITOS, CA 90720-2000
(562) 596-4403
(562) 596-7884
Mailing address
3791 KATELLA AVE, 101, LOS ALAMITOS, CA 90720-3105
(562) 596-4403
(562) 596-7884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A334800
—
CA
Enumeration date
11/01/2006
Last updated
02/07/2022
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