Individual
DR. ASSAF K FESSEHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 869-7200
(310) 456-8838
Mailing address
PO BOX 960, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A152288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
544785YLLW
MEDICARE
TX
01
—
8GF407
BCBS
TX
Enumeration date
04/17/2013
Last updated
12/01/2023
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