# HASSAN A KOBAISSI DPM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245632777
- **Authorized official:** HASSAN A KOBAISSI M.D. (CEO)
- **Authorized official phone:** (626) 961-1882

## Contact information

- **Practice address:** 3180 COLIMA RD, SUITE A, HACIENDA HEIGHTS, CA 91745-6315
- **Practice address phone:** (626) 961-1882
- **Practice address fax:** (626) 968-7599
- **Mailing address:** 3180 COLIMA RD, SUITE A, HACIENDA HEIGHTS, CA 91745-6315
- **Mailing address phone:** (626) 961-1882
- **Mailing address fax:** (626) 968-7599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4235 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2014
- **Last updated:** 03/25/2015