Healthcare Provider Details

I. General information

NPI: 1992358444
Provider Name (Legal Business Name): JOSEPH HADI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16255 VENTURA BLVD STE 450
ENCINO CA
91436-2304
US

IV. Provider business mailing address

1171 S ROBERTSON BLVD # 520
LOS ANGELES CA
90035-1403
US

V. Phone/Fax

Practice location:
  • Phone: 310-846-9010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH HADI
Title or Position: PRESIDENT
Credential: MD
Phone: 310-846-9010