Individual
HAMID REZA AMANATKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2730 WILSHIRE BLVD STE 525, SANTA MONICA, CA 90403
(323) 298-3100
Mailing address
2730 WILSHIRE BLVD STE 525, SANTA MONICA, CA 90403-4750
(323) 298-3100
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A155209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417399742
PSYCHIATRY
CA
Enumeration date
07/29/2013
Last updated
11/02/2021
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