Heitham Hassoun, MD | |
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
(424) 315-4508 | |
(310) 423-0246 |
Full Name | Heitham Hassoun |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 8700 Beverly Blvd, West Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407806797 | NPI | - | NPPES |
408464100 | Medicaid | MD | |
8BZ860 | Other | TX | BLUE CROSS BLUE SHIELD |
141192802 | Medicaid | TX | |
141192803 | Medicaid | TX |
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Mailing Address | Practice Location Address |
---|---|
Heitham Hassoun, MD Po Box 512717, Los Angeles, CA 90051-0717 Ph: (424) 315-4508 | Heitham Hassoun, MD 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (424) 315-4508 |
Harry C Sax, MD Surgery Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, Nt 8215, West Hollywood, CA 90048 Phone: 310-967-4333 | |
Dr. Kulmeet K. Sandhu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8350 | |
Halley Vora, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Suite 8215nt, West Hollywood, CA 90048 Phone: 310-423-5874 | |
Deven Patel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd Ste 8215nt, West Hollywood, CA 90048 Phone: 310-423-5874 | |
Dr. Jason David Pasley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8650 Fax: 310-248-8294 | |
Dr. Desmond Tuan-khai Huynh, MD Surgery Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8350 Fax: 424-314-5431 | |
Dr. Edward Christopher Ray, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-5000 |