Individual
JEFFREY ASHRAF HAMMOUDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
4650 W SUNSET BLVD, MS# 96, LOS ANGELES, CA 90027-6062
(323) 669-2154
(323) 669-4106
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 669-2337
(323) 644-8488
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
A94991
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A94991
CA
Other
Enumeration date
10/18/2006
Last updated
11/29/2017
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