Individual
DR. HAMID CYRUS HAJARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
11100 WARNER AVE STE 370, FOUNTAIN VALLEY, CA 92708-7514
(714) 540-1191
(714) 540-0470
Mailing address
11100 WARNER AVE STE 370, FOUNTAIN VALLEY, CA 92708-7514
(714) 540-1191
(714) 540-0470
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
45262
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A68648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982867271
DENTI-CAL
CA
Enumeration date
07/07/2008
Last updated
10/30/2014
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