Qozi-Habash, Tedmur

Qozi-Habash, Tedmur is an individual health care provider with primary practice located at 14901 Rinaldi St Suite 200, Mission Hills CA 91345-1204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Qozi-Habash, Tedmur can be contacted via phone (818) 365-8553.

Contact Information

Primary practice address
14901 Rinaldi St Suite 200 Mission Hills CA 91345-1204
Phone: (818) 365-8553
Fax: (818) 365-4524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A91026 California

Profile Details

NPI number 1710978135
LBN Legal business name Qozi-Habash, Tedmur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 14th, 2011 - about 14 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 1710978135 NPPES
California MEDICAID 00A910260

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