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Contact Information

BASSAM MOUAZZEN M.D., P.C.
415 W ROUTE 66
SUITE 101
GLENDORA, CA91740-4335
 Phone: 626-852-9986
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BASSAM MOUAZZEN MD PC · (Female)

NPI Number 1730348830
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2008
Last updated 06/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # C43066
  • CA Medicaid 00C430661
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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