Individual
ALEXANDER GHASEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14860 ROSCOE BLVD STE 200, PANORAMA CITY, CA 91402-4683
(424) 201-5454
Mailing address
8447 WILSHIRE BLVD STE 202, BEVERLY HILLS, CA 90211-3207
(424) 201-5454
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
82428
GA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A169674
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2014
Last updated
04/26/2021
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