Bassam Mouazzen M.D., P.C.

LBN: Bassam Mouazzen M.D., P.C.
Bassam Mouazzen M.D., P.C. is an health care organization with primary practice located at 415 W Route 66 Suite 101, Glendora CA 91740-4335. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Bassam Mouazzen M.D., P.C. can be contacted via phone (626) 852-9986, or through Mouazzen, Bassam via phone (626) 852-9986.

Contact Information

Primary practice address
415 W Route 66 Suite 101 Glendora CA 91740-4335
Phone: (626) 852-9986
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mouazzen, Bassam Doctor of Medicine (MD)
Phone: (626) 852-9986

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C43066 California

Profile Details

NPI number 1730348830
LBN Legal business name Bassam Mouazzen M.D., P.C.
DBA Doing business as
Authorized official Mouazzen, Bassam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2008
Last updated Jun 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730348830 NPPES
California MEDICAID 00C430661

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