Healthcare Provider Details

I. General information

NPI: 1073675385
Provider Name (Legal Business Name): ALIANZA MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6907 SEVILLE AVE
HUNTINGTON PARK CA
90255
US

IV. Provider business mailing address

6907 SEVILLE AVE
HUNTINGTON PARK CA
90255
US

V. Phone/Fax

Practice location:
  • Phone: 323-588-1100
  • Fax: 323-277-0874
Mailing address:
  • Phone: 323-588-1100
  • Fax: 323-277-0874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. HASSAN ANTHONY HOOSHMAND
Title or Position: CORPORATE SECRETARY
Credential: PAC
Phone: 323-588-1100