Provider Demographics
NPI:1396076600
Name:HAMID SALARI-NAMIN,MD,INC
Entity type:Organization
Organization Name:HAMID SALARI-NAMIN,MD,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:REZA
Authorized Official - Last Name:SALARI-NAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-318-0070
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-0328
Mailing Address - Country:US
Mailing Address - Phone:760-318-0070
Mailing Address - Fax:760-323-2668
Practice Address - Street 1:1180 N INDIAN CANYON DR
Practice Address - Street 2:SUITE # 208 W
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4800
Practice Address - Country:US
Practice Address - Phone:760-318-0070
Practice Address - Fax:760-323-2668
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMID SALARI-NAMIN MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-26
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A502330Medicaid
CAG2419Medicare UPIN
CA00A502330Medicaid