Individual
GHAZALEH MACCABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8767 WILSHIRE BLVD FL 2, BEVERLY HILLS, CA 90211-2714
(310) 248-7000
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 248-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA59838
CA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/16/2019
Last updated
11/08/2023
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