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Individual

BASSEM MERIT SHOUCRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A186308
CA
208000000X
Pediatrics Physician
PTL3720
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
A186308
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTL3720
CA STATE MEDICAL LICENSE
CA
Enumeration date
03/23/2020
Last updated
07/16/2026
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