Healthcare Provider Details
I. General information
NPI: 1821591371
Provider Name (Legal Business Name): H & H RADIOLOGIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2018
Last Update Date: 03/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24548 HAWTHORNE BLVD
TORRANCE CA
90505-6807
US
IV. Provider business mailing address
24548 HAWTHORNE BLVD
TORRANCE CA
90505-6807
US
V. Phone/Fax
- Phone: 310-373-5656
- Fax:
- Phone: 310-373-5656
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0203X |
| Taxonomy | Therapeutic Radiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HAZEM
HOSEIN
Title or Position: PRESIDENT
Credential:
Phone: 949-231-9292