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General NPI Number Information
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NPI Number | 1376511188
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Entity Type | Individual
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Provider Name | ALI REZA HAMZEI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 320 SANTA FE DR SUITE 204
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City | ENCINITAS
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State | CA
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Zip | 92024-5138
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Country | US
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Telephone | 760-944-7300
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Fax | 760-633-3949
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Provider Business Mailing Address
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Address Line | PO BOX 230757
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City | ENCINITAS
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State | CA
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Zip | 92023-0757
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Country | US
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Telephone | 760-944-7300
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Fax | 760-634-6564
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A62682
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | A62682
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License Number State | CA
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