Hassoun, Heitham

Hassoun, Heitham is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Hassoun, Heitham can be contacted via phone (424) 315-4508.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Phone: (424) 315-4508
Fax: (310) 423-0246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X C160417 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X L0817 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X D63527 Maryland

Profile Details

NPI number 1407806797
LBN Legal business name Hassoun, Heitham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 11th, 2020 - about 5 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 1407806797 NPPES
Maryland MEDICAID 408464100
Maryland Other 8BZ860
Maryland MEDICAID 141192802
Maryland MEDICAID 141192803

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