Healthcare Provider Details

I. General information

NPI: 1588008767
Provider Name (Legal Business Name): ALEXANDER GEORGE KASSAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 W FOOTHILL BLVD
GLENDORA CA
91741-5309
US

IV. Provider business mailing address

1822 E ROUTE 66 STE A
GLENDORA CA
91740-3800
US

V. Phone/Fax

Practice location:
  • Phone: 626-914-5219
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA132911
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA132911
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: