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NPI Code Detail

MEDICARE: DR. AHMED EMAD HOZAIN M.D

MEDICARE: DR. AHMED EMAD HOZAIN M.D
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
1208600000XSurgery Physician036159471IL
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianA204796CA

General Provider Information

NPI Number : 1700297546
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AHMED EMAD HOZAIN M.D
Provider Business Mailing Address
First Line : 11175 CAMPUS ST
Second Line :
City : LOMA LINDA
State : CA
Zip : 92350-1700
Country : US
Telephone Number : 909-558-4354
Fax Number : 909-558-0348
Provider Business Practice Location Address
First Line : 28078 BAXTER RD STE 510
Second Line :
City : MURRIETA
State : CA
Zip : 92563-1405
Country : US
Telephone Number : 909-558-4200
Fax Number : 951-290-4944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 03/09/2026

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