MEDICARE: SINA INFECTIOUS DISEASES MEDICAL ASSOCIATES, INC

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
1	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1992815047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINA INFECTIOUS DISEASES MEDICAL ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	5482 WILSHIRE BLVD
Second Line	:	SUITE 1535
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4218
Country	:	US
Telephone Number	:	310-274-5510
Fax Number	:	310-274-9940

Provider Business Practice Location Address
First Line	:	5482 WILSHIRE BLVD
Second Line	:	SUITE 1535
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4218
Country	:	US
Telephone Number	:	310-274-5510
Fax Number	:	310-274-9940

Authorized Official
Title or Position	:	MD/PRESIDENT
Name	:	DR. KAMRAN HAMIDI
Credential	:	MD
Telephone Number	:	310-201-2871

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/17/2012

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