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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. HAZAM MANSOUR ADEMHIZAM, PHYSICIAN ASSISTANT

Active Sole Proprietor

MR. HAZAM MANSOUR ADEMHIZAM, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in BUENA PARK, California. NPI 1073645131 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BUENA PARK, CA

Registration Details

NPI Number
1073645131
Provider Type
Individual
Gender
Male
NPI Issued
Mar 12, 2007 (19.235939533241 yrs)
Last Updated
Jul 8, 2007
License
PA 19085 (CA)
Sole Proprietor
Yes

Practice Information

Address
6744 KNOTT AVE APT 4
BUENA PARK, CA, 906212736
Browse CA providers · Browse ZIP 90621
Phone
7142280715
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BUENA PARK, CA

Name Credential NPI
DINA L VILLAPUDUA PA 1992871941
JAMES YOON PA-C 1669930905
SHERLYNN JI HYUN LEE PA-C 1366010597
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.