Organization
HUSSAM Y. ANTOIN, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSAM Y ANTOIN M.D. (PRESIDENT/ SOLE OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
120 S SPALDING DR, STE.#301, BEVERLY HILLS, CA 90212-1800
(310) 385-7755
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A88484
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A88484
CA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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