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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407806797 | NPPES |
| Maryland | MEDICAID | 408464100 | |
| Maryland | Other | 8BZ860 | |
| Maryland | MEDICAID | 141192802 | |
| Maryland | MEDICAID | 141192803 |
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