Individual
GHASSAN AL-JAZAYRLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N VERMONT AVE # 606, LOS ANGELES, CA 90027-6005
(323) 660-6200
(323) 660-6212
Mailing address
PO BOX 6, LA CANADA, CA 91012-0006
(323) 660-6200
(323) 660-6212
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A52470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A524700
—
CA
Enumeration date
07/16/2006
Last updated
07/09/2007
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