Provider Demographics
NPI:1497131767
Name:HAMOUI, NAJI FAYEZ (DMD)
Entity Type:Individual
Prefix:DR
First Name:NAJI
Middle Name:FAYEZ
Last Name:HAMOUI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 E ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-1530
Mailing Address - Country:US
Mailing Address - Phone:818-400-4480
Mailing Address - Fax:
Practice Address - Street 1:906 N GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-2129
Practice Address - Country:US
Practice Address - Phone:818-247-7828
Practice Address - Fax:818-247-7833
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA645801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice