Provider Demographics
NPI:1184799462
Name:HAMID A. TOWHIDIAN, M.D.,P.C.
Entity type:Organization
Organization Name:HAMID A. TOWHIDIAN, M.D.,P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOWHIDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-857-4444
Mailing Address - Street 1:4050 BARRANCA PKWY
Mailing Address - Street 2:SUITE 265
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-7706
Mailing Address - Country:US
Mailing Address - Phone:949-857-4444
Mailing Address - Fax:949-857-0444
Practice Address - Street 1:4050 BARRANCA PKWY
Practice Address - Street 2:SUITE 265
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-7706
Practice Address - Country:US
Practice Address - Phone:949-857-4444
Practice Address - Fax:949-857-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33566261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A335660Medicaid
CA00A335660Medicaid
CAA33566Medicare ID - Type Unspecified