Individual
HUSAM ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4910 VAN NUYS BLVD, SUITE 102, SHERMAN OAKS, CA 91403
(818) 789-6622
Mailing address
4910 VAN NUYS BLVD, SUITE 102, SHERMAN OAKS, CA 91403-1715
(818) 789-6622
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A113977
CA
208200000X
Plastic Surgery Physician
Primary
A113977
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
A113977
CA
Other
Enumeration date
04/03/2007
Last updated
04/23/2013
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