Provider Demographics
NPI:1992086185
Name:AOS PROFESSIONAL INC
Entity type:Organization
Organization Name:AOS PROFESSIONAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOZAIR
Authorized Official - Middle Name:MOHAMMED
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-773-4913
Mailing Address - Street 1:132 LIMERICK LN
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-3299
Mailing Address - Country:US
Mailing Address - Phone:805-773-4913
Mailing Address - Fax:
Practice Address - Street 1:132 LIMERICK LN
Practice Address - Street 2:
Practice Address - City:PISMO BEACH
Practice Address - State:CA
Practice Address - Zip Code:93449-3299
Practice Address - Country:US
Practice Address - Phone:805-773-4913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA111058251S00000X
KS04-32894251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health