MEDICARE: OSAMAH A EL-ATTAR MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	A26314	CA
2	207R00000X	Internal Medicine Physician	A26314	CA
3	207RI0011X	Interventional Cardiology Physician	A26314	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568597250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSAMAH A EL-ATTAR MD INC

Provider Business Mailing Address
First Line	:	PO BOX 800817
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91380-0817
Country	:	US
Telephone Number	:	661-430-0935
Fax Number	:	866-431-1210

Provider Business Practice Location Address
First Line	:	1234 N VERMONT AVE
Second Line	:	SUITE 2
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1704
Country	:	US
Telephone Number	:	323-666-2726
Fax Number	:	323-666-9056

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. OSAMAH AMIN EL-ATTAR
Credential	:	M.D.
Telephone Number	:	323-666-2726

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	02/18/2020

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Directions to “OSAMAH A EL-ATTAR MD INC ” Practice Location

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