Individual provider · NPI-1

Hisham Mohamed Abdel-Azim, MD

Pediatrics, Pediatric Hematology-Oncology · Los Angeles, CA

NPI number1114018694
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1114018694
Entity type
Individual (NPI-1)
Name
Hisham Mohamed Abdel-Azim
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 27, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0207X Pediatrics, Pediatric Hematology-OncologyA79947CAYes

Practice location

4650 W Sunset Blvd
Ms# 62
Los Angeles, CA 90027-6062

Phone 323-669-4559 · Fax 323-660-1904

Mailing address

6430 W Sunset Blvd
Suite 600
Los Angeles, CA 90028-7901

Phone 323-669-2337 · Fax 323-644-8488

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