Provider Demographics
NPI:1336585876
Name:NAZIH M HADDAD MD INC
Entity Type:Organization
Organization Name:NAZIH M HADDAD MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAZIH
Authorized Official - Middle Name:M
Authorized Official - Last Name:HADDAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-692-0400
Mailing Address - Street 1:9201 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-2450
Mailing Address - Country:US
Mailing Address - Phone:562-692-0400
Mailing Address - Fax:562-205-1555
Practice Address - Street 1:9201 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-2450
Practice Address - Country:US
Practice Address - Phone:562-692-0400
Practice Address - Fax:562-205-1555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty