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Organization

GHASSAN KAZMOUZ GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GHASSAN KAZMOUZ M.D. (OWNER-PHYSICIAN)
(760) 322-9562
Entity
Organization

Contact information

Practice address
1180 N INDIAN CANYON DR, STE W304, PALM SPRINGS, CA 92262-4800
(760) 322-9562
(760) 320-4226
Mailing address
PO BOX 13773, PALM DESERT, CA 92255-3773
(760) 322-9562

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A66439
CA
207RI0011X
Interventional Cardiology Physician
A66439
CA
207UN0901X
Nuclear Cardiology Physician
A66439
CA

Other

Enumeration date
07/19/2016
Last updated
07/19/2016
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