Individual
MR. EZZAT WADIH WASSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5750 DOWNEY AVE STE 308, LAKEWOOD, CA 90712-1482
(562) 633-3787
(562) 633-1977
Mailing address
5750 DOWNEY AVE STE 308, LAKEWOOD, CA 90712-1482
(562) 633-3787
(562) 633-1977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A30443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066890
—
CA
Enumeration date
07/30/2006
Last updated
07/08/2007
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