Abdel-Azim, Hisham Mohamed

Abdel-Azim, Hisham Mohamed is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 62, Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Abdel-Azim, Hisham Mohamed can be contacted via phone (323) 669-4559.

Contact Information

Primary practice address
4650 W Sunset Blvd Ms# 62 Los Angeles CA 90027-6062
Fax: (323) 660-1904
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A79947 California

Profile Details

NPI number 1114018694
LBN Legal business name Abdel-Azim, Hisham Mohamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114018694 NPPES
California MEDICAID 00A799470

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