Provider Demographics
NPI:1427636091
Name:MOHAMMADZADEH, AMIR ALI (MD)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:ALI
Last Name:MOHAMMADZADEH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:141 S CLARK DR APT 408
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3245
Mailing Address - Country:US
Mailing Address - Phone:805-660-6747
Mailing Address - Fax:
Practice Address - Street 1:5455 WILSHIRE BLVD STE 903
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4236
Practice Address - Country:US
Practice Address - Phone:628-244-4364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2025-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA2015852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty