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NPI Code Detail

MEDICARE: HAMED HAGHNAZAR MD, MPH

MEDICARE: HAMED HAGHNAZAR MD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician190140CA
2207QA0401XAddiction Medicine (Family Medicine) Physician190140CA

General Provider Information

NPI Number : 1649701251
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAMED HAGHNAZAR MD, MPH
Provider Business Mailing Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1411
Country : US
Telephone Number : 181-899-6105
Fax Number :
Provider Business Practice Location Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1411
Country : US
Telephone Number : 818-996-1051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2017
Last Update Date : 12/10/2025

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