Provider Demographics
NPI:1316028574
Name:TOWHIDIAN, HAMID (MD, PC)
Entity Type:Individual
Prefix:DR
First Name:HAMID
Middle Name:
Last Name:TOWHIDIAN
Suffix:
Gender:M
Credentials:MD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 BARRANCA PKWY
Mailing Address - Street 2:SUITE 265
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-7706
Mailing Address - Country:US
Mailing Address - Phone:949-857-4444
Mailing Address - Fax:949-857-0444
Practice Address - Street 1:4050 BARRANCA PKWY
Practice Address - Street 2:SUITE 265
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-7706
Practice Address - Country:US
Practice Address - Phone:949-857-4444
Practice Address - Fax:949-857-0444
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABUS02-00122246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other