Provider Demographics
NPI:1316244841
Name:KAZANCHI, HALA ZAINI (MD)
Entity type:Individual
Prefix:
First Name:HALA
Middle Name:ZAINI
Last Name:KAZANCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HALA
Other - Middle Name:HAMEED
Other - Last Name:ZAINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 33881
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92163-3881
Mailing Address - Country:US
Mailing Address - Phone:619-948-0944
Mailing Address - Fax:
Practice Address - Street 1:4077 5TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2105
Practice Address - Country:US
Practice Address - Phone:619-294-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS75822084P0800X
CAA1269472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry