Individual
DR. HUSSEIN NASSR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12462 PUTNAM STREET, SUITE 208, WHITTIE, CA 90602-1049
(562) 789-5470
(562) 789-4480
Mailing address
PO BOX 511225, LOS ANGELES, CA 90051-3023
(562) 789-5470
(562) 789-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C51778
CA
207RP1001X
Pulmonary Disease Physician
C51778
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
C51778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11916059
CAQH
CA
01
—
C51778
MEDICAL BOARD LICENSE
CA
Enumeration date
02/26/2007
Last updated
06/23/2010
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