Ademhizam, Hazam Mansour

Ademhizam, Hazam Mansour is an sole proprietor health care provider with primary practice located at 6744 Knott Ave Apt 4 , Buena Park CA 90621-2736. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ademhizam, Hazam Mansour can be contacted via phone (714) 228-0715.

Contact Information

Primary practice address
6744 Knott Ave Apt 4 Buena Park CA 90621-2736
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 19085 California

Profile Details

NPI number 1073645131
LBN Legal business name Ademhizam, Hazam Mansour
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 18 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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