Organization
HAMID FADAVI DO INC
Active
Organization
HAMID FADAVI DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID FADAVI D.O (PERSIDENT)
(949) 916-8100
Entity
Organization
Contact information
Practice address
26932 OSO PKWY, SUITE 275, MISSION VIEJO, CA 92691-5815
(949) 916-8100
(949) 916-8555
Mailing address
26932 OSO PKWY, SUITE 275, MISSION VIEJO, CA 92691-5815
(949) 916-8100
(949) 916-8555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A11189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HF034A
PTAN
—
Enumeration date
03/20/2013
Last updated
02/10/2014
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