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Bassam Mouazzen, MD
Specialist in Glendora, California
NPI 1952492712

Bassam Mouazzen is a Specialist based in Glendora, CA. Bassam Mouazzen practices in Glendora, CA and has the professional credentials of MD. The NPI Number for Bassam Mouazzen is 1952492712 and holds a License No. C43066 (California).

The current practice location address for Bassam Mouazzen is 415 W Route 66, Glendora, CA and can be reached out via phone at 626-852-9986 and via fax at 626-963-2220.

Location: 415 W Route 66, Glendora, CA, 91740-1939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952492712
Provider Name
Bassam Mouazzen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 W Route 66, Glendora, CA, 91740-1939
Phone Number
626-852-9986
Fax Number
626-963-2220
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RHC140778 01 CA FLOUROSCOPY
1625227 05 CA
institution
Provider Business Practice Location Address Details
Address
415 W Route 66
City
Glendora
State
California
Zip
91740-4335
Phone Number
626-852-9986
Fax Number
626-963-2220
person
Provider Business Mailing Address Details
Address
415 W Route 66
City
Glendora
State
California
Zip
91740-4335
Phone Number
626-852-9986
Fax Number
626-963-2220
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C43066 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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