Provider Demographics
NPI:1659410744
Name:ABEDI, HAMID (HEARING AID SPECIALI)
Entity Type:Individual
Prefix:MR
First Name:HAMID
Middle Name:
Last Name:ABEDI
Suffix:
Gender:M
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11650 IBERIA PL
Mailing Address - Street 2:101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2406
Mailing Address - Country:US
Mailing Address - Phone:858-485-8558
Mailing Address - Fax:858-485-0461
Practice Address - Street 1:11650 IBERIA PL
Practice Address - Street 2:101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2406
Practice Address - Country:US
Practice Address - Phone:858-485-8558
Practice Address - Fax:858-485-0461
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA0031760174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist