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General NPI Number Information
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NPI Number | 1619920816
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Entity Type | Individual
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Provider Name | HAMID R MOVAHHEDIAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | TRI CITY MEDICAL CENTER 4002 VISTA WAY
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City | OCEANSIDE
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State | CA
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Zip | 92056
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Country | US
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Telephone | 760-940-3386
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Fax | 760-940-7770
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Provider Business Mailing Address
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Address Line | 4002 VISTA WAY
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City | OCEANSIDE
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State | CA
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Zip | 92056-4506
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Country | US
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Telephone | 760-940-3386
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Fax |
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | A49253
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A49253
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A49253
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License Number State | CA
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