Healthcare Provider Details

I. General information

NPI: 1669575056
Provider Name (Legal Business Name): HASSNEY ALAN HAMOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HASSNEY ALAN HAMOOD MD

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2785 PACIFIC AVE SUITE A
LONG BEACH CA
90806-2612
US

IV. Provider business mailing address

2785 PACIFIC AVE SUITE A
LONG BEACH CA
90806-2612
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-1589
  • Fax: 562-595-7039
Mailing address:
  • Phone: 562-595-1589
  • Fax: 562-595-7039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberC344040
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: