Healthcare Provider Details

I. General information

NPI: 1659931335
Provider Name (Legal Business Name): ZAIN HADI LALANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2019
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W LA PALMA AVE
ANAHEIM CA
92801-2804
US

IV. Provider business mailing address

223 N 1ST AVE STE 101
ARCADIA CA
91006-7027
US

V. Phone/Fax

Practice location:
  • Phone: 714-999-3847
  • Fax: 714-999-6127
Mailing address:
  • Phone: 626-821-1411
  • Fax: 626-821-0142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberA197109
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA197109
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberLL82805
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: