Provider Demographics
NPI:1821670084
Name:HOJJAT MD INC
Entity Type:Organization
Organization Name:HOJJAT MD INC
Other - Org Name:SOUTHERN CALIFORNIA AESTHETIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOUMEHR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOJJAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-996-3274
Mailing Address - Street 1:7 MORNING VW
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-3716
Mailing Address - Country:US
Mailing Address - Phone:949-996-3274
Mailing Address - Fax:
Practice Address - Street 1:113 WATERWORKS WAY STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3171
Practice Address - Country:US
Practice Address - Phone:949-996-3274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty