Individual
DR. MAZEN HASHISHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12555 GARDEN GROVE BLVD STE 403, GARDEN GROVE, CA 92843-1903
(562) 506-0176
(562) 506-0053
Mailing address
5150 E PACIFIC COAST HWY STE 500, LONG BEACH, CA 90804-3328
(562) 299-5200
(562) 299-5294
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
002845
NY
2086S0129X
Vascular Surgery Physician
Primary
A94329
CA
2086S0129X
Vascular Surgery Physician
MD441265
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A94329
CA
Other
Enumeration date
08/21/2007
Last updated
06/16/2020
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