Healthcare Provider Details

I. General information

NPI: 1225417090
Provider Name (Legal Business Name): AMELA HOZIC D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 SUNSET DR STE 112
SAN RAMON CA
94583-2340
US

IV. Provider business mailing address

160 SUNSET DR STE 112
SAN RAMON CA
94583-2340
US

V. Phone/Fax

Practice location:
  • Phone: 925-359-5218
  • Fax:
Mailing address:
  • Phone: 925-359-5218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number19302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: