Individual
DR. BASSAM A HADAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1759 W AVENUE J, STE 101, LANCASTER, CA 93534-2703
(661) 948-1388
(661) 948-1223
Mailing address
PO BOX 2768, LANCASTER, CA 93539-2768
(661) 948-1388
(661) 948-1223
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A29939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-4056336
GROUP CORP TAX ID
CA
05
—
OOA299390
—
CA
Enumeration date
03/09/2006
Last updated
02/23/2016
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