Individual
BASSAM YASSINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 S. SUNSET AVE SUITE 301, WEST COVINA, CA 91790
(626) 552-5459
Mailing address
910 E GLADSTONE ST, AZUSA, CA 91702-4747
(626) 339-9180
(626) 339-9130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A56483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564830
—
CA
Enumeration date
09/22/2006
Last updated
07/20/2015
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