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Individual

DR. MOHSEN M HAMZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11600 WILSHIRE BLVD, SUITE # 420, LOS ANGELES, CA 90025-5781
(310) 477-7201
Mailing address
11600 WILSHIRE BLVD, SUITE # 420, LOS ANGELES, CA 90025-5781
(310) 477-7201

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A43543
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A43543
CA
261QH0100X
Health Service Clinic/Center
A43543
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790965903
MEDICARE NPI
CA
01
95-4286830
TAX ID
CA
Enumeration date
10/16/2006
Last updated
04/02/2024
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