Organization · Type 2 NPI

Ali R Namazie MD A Medical Group, Inc

Facial Plastic Surgery Physician · Encino, CA

NPI number 1104046747 Active

Practice location

16661 Ventura Blvd Ste 226
Encino, CA 91436-1947

Fax (818) 986-5503

Mailing address

4955 Van Nuys Blvd, Suite 505
Sherman Oaks, CA 91403-1801

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XNone listed
Facial Plastic Surgery Physician Primary 207YS0123XNone listed

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

3 other providers at this address

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About NPI 1104046747

Ali R Namazie MD A Medical Group, Inc's National Provider Identifier is 1104046747, issued on Apr 26, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Encino, CA. The record was last updated on Feb 20, 2020.