Individual
MR. GASSER MAHGR HATHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14445 OLIVEVIEW DR, SYLMAR, CA 91342
(818) 364-1555
Mailing address
1622 SAN GABRIEL AVE, GLENDALE, CA 91208
(818) 242-7350
(818) 242-7350
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G66261
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G66261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C7662610
—
CA
Enumeration date
08/29/2006
Last updated
03/19/2009
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