Individual
BASSEM MERIT SHOUCRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, MDCC 22-315, LOS ANGELES, CA 90095-3075
(310) 825-6244
Mailing address
10833 LE CONTE AVE, MDCC 22-315, LOS ANGELES, CA 90095-3075
(310) 825-6244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PTL3720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL3720
CA STATE MEDICAL LICENSE
CA
Enumeration date
03/23/2020
Last updated
07/19/2022
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