Individual
JAMIL ANIS ABOULHOSN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 630, LOS ANGELES, CA 90024-6997
(310) 825-9011
(310) 825-9012
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A74157
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
A74157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A741570
—
CA
Enumeration date
06/09/2006
Last updated
01/02/2020
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