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Organization

JAMAL HUSSAIN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMAL HUSSAIN MD (PRESIDENT)
(562) 630-7711
Entity
Organization

Contact information

Practice address
3650 SOUTH ST, STE 105, LAKEWOOD, CA 90712-1502
(562) 630-7711
Mailing address
PO BOX 3939, LAKEWOOD, CA 90711-3939
(562) 630-7711

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C52498
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1922031806
NPI-INDIVIDUAL
Enumeration date
10/12/2011
Last updated
03/04/2017
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