# JAMAL HUSSAIN MD INC

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

## Provider details

- **NPI number:** 1710262571
- **Authorized official:** DR. JAMAL HUSSAIN MD (PRESIDENT)
- **Authorized official phone:** (562) 630-7711

## Contact information

- **Practice address:** 3650 SOUTH ST, STE 105, LAKEWOOD, CA 90712-1502
- **Practice address phone:** (562) 630-7711
- **Mailing address:** PO BOX 3939, LAKEWOOD, CA 90711-3939
- **Mailing address phone:** (562) 630-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | C52498 | CA | Yes |

## Other

- **Enumeration date:** 10/12/2011
- **Last updated:** 03/04/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1922031806 | NPI-INDIVIDUAL | — |