Individual
ISAM MAWAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3831 HUGHES AVE STE 604, CULVER CITY, CA 90232-6848
(310) 730-8606
(318) 973-2420
Mailing address
9808 VENICE BLVD STE 603, CULVER CITY, CA 90232-6819
(310) 730-8606
(318) 973-2420
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A98516
CA
Other
Enumeration date
09/17/2007
Last updated
08/15/2022
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