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General NPI Number Information
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NPI Number | 1891967030
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Entity Type | Individual
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Provider Name | HOOMAN HORMOZIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 10200 SEPULVEDA BLVD STE. 300
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City | MISSION HILLS
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State | CA
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Zip | 91345-2649
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Country | US
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Telephone | 818-830-1008
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Fax | 818-895-3214
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Provider Business Mailing Address
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Address Line | 10200 SEPULVEDA BLVD STE. 300 B
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City | MISSION HILLS
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State | CA
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Zip | 91345-2649
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Country | US
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Telephone | 818-830-1008
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Fax | 818-895-3214
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A120767
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A120767
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License Number State | CA
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