Provider Demographics
NPI:1033559679
Name:HADZIC, TARIK (MD, PHD)
Entity Type:Individual
Prefix:
First Name:TARIK
Middle Name:
Last Name:HADZIC
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26135 MUREAU RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3182
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26135 MUREAU RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3182
Practice Address - Country:US
Practice Address - Phone:844-496-9160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130178332084P0800X
CAA1416672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry