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Individual

GHADA M ASSASSA-SOLH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
210 W SAN BERNARDINO RD, NUCLEAR MEDICINE DEPT, COVINA, CA 91723-1515
(626) 915-6281
(626) 859-5825
Mailing address
2024 FOX HILLS DR, LOS ANGELES, CA 90025-6046
(626) 915-6281

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
A50196
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A50196
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A501960
BLUE SHIELD
CA
05
00A501960
CA
Enumeration date
04/06/2006
Last updated
10/04/2007
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