Provider Demographics
NPI:1659020568
Name:HAMIDY, MORCEL
Entity type:Individual
Prefix:
First Name:MORCEL
Middle Name:
Last Name:HAMIDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 W LA PALMA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2661
Mailing Address - Country:US
Mailing Address - Phone:657-282-6356
Mailing Address - Fax:
Practice Address - Street 1:333 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2179
Practice Address - Country:US
Practice Address - Phone:949-347-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-20
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA189681208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics