Provider Demographics
NPI:1184838211
Name:TAHA HAMOUI, M.D., INC
Entity Type:Organization
Organization Name:TAHA HAMOUI, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN MD
Authorized Official - Prefix:DR
Authorized Official - First Name:TAHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMOUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-949-5901
Mailing Address - Street 1:44215 15TH STREET WEST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-5505
Mailing Address - Country:US
Mailing Address - Phone:661-949-5901
Mailing Address - Fax:661-949-5594
Practice Address - Street 1:44215 15TH ST W
Practice Address - Street 2:SUITE 307
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4014
Practice Address - Country:US
Practice Address - Phone:661-949-5901
Practice Address - Fax:661-949-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33885207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9814419Medicaid
CA9814419Medicaid