Individual
DR. JAMAL HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 SOUTH ST, LAKEWOOD, CA 90712-1419
(602) 570-0440
Mailing address
PO BOX 3939, LAKEWOOD, CA 90711-3939
(602) 570-0440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C52498
CA
207RI0011X
Interventional Cardiology Physician
Primary
C52498
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220808
—
AZ
Enumeration date
07/07/2006
Last updated
04/03/2020
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