| Hamid Malakooti M.d. | |
|
2428 W Whittier Blvd Montebello CA 90640-3041 | |
| (323) 722-5550 | |
| (323) 722-0704 |
| Full Name | Hamid Malakooti M.d. |
|---|---|
| Speciality | General Practice |
| Location | 2428 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | Hamid Malakooti (PRESIDENT) |
| Authorized Official Contact | 3237225550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamid Malakooti M.d. Po Box 226850 Los Angeles CA 90022-0550 Ph: (323) 722-5550 | Hamid Malakooti M.d. 2428 W Whittier Blvd Montebello CA 90640-3041 Ph: (323) 722-5550 |
| NPI Number | 1952560344 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Medicare PECOS PAC ID | 5395806111 |
|---|---|
| Medicare Enrollment ID | O20081211000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952560344 | NPI | - | NPPES |
| 00A405040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A40504 (California) | Primary |
| Provider Name | Hamid Malakooti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538243373 PECOS PAC ID: 4688735400 Enrollment ID: I20081211000221 |
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