Hadadz, Ali

Hadadz, Ali is an sole proprietor health care provider with primary practice located at 4560 Admiralty Way Ste 303 , Marina Del Rey CA 90292-5426. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hadadz, Ali can be contacted via phone (310) 204-5510.

Contact Information

Primary practice address
4560 Admiralty Way Ste 303 Marina Del Rey CA 90292-5426
Phone: (310) 204-5510
Fax: (424) 384-5053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A69816 California

Profile Details

NPI number 1316970866
LBN Legal business name Hadadz, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Mar 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316970866 NPPES
California Other 010066259 MEDICARE RAILROAD
California Other ZZZ05665Z MEDICARE RAILROAD
California MEDICAID 00A698160 MEDICARE RAILROAD

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