Provider Demographics
NPI:1992358444
Name:JOSEPH HADI MD PC
Entity Type:Organization
Organization Name:JOSEPH HADI MD PC
Other - Org Name:CALIFORNIA PAIN & REGENERATIVE MEDICINE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-846-9010
Mailing Address - Street 1:1171 S ROBERTSON BLVD # 520
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16255 VENTURA BLVD STE 450
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2304
Practice Address - Country:US
Practice Address - Phone:310-846-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2023-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty