Physician Compare National (NPI:1285920637)

HEALTHCARE PROVIDER: DANIEL AMIRHAMZEH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285920637
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759671217
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160613000825
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AMIRHAMZEH
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BEVERLY RADIOLOGY MEDICAL GROUP III
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3476466376
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	207
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	10535 WILSHIRE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	APT 1701
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900244558
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330236
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEW YORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050084
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JOSEPHS MEDICAL CENTER OF STOCKTON
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310083
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EAST ORANGE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	210065
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	HOLY CROSS GERMANTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050704
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MISSION COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1285920637)

HEALTHCARE PROVIDER: DANIEL AMIRHAMZEH M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information