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General NPI Number Information
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NPI Number | 1528150562
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Entity Type | Organization
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Legal Business Name | NASSIR MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 5901 W OLYMPIC BLVD STE 505
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City | LOS ANGELES
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State | CA
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Zip | 90036-4670
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Country | US
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Telephone | 323-930-2324
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Fax | 323-930-2497
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Provider Business Mailing Address
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Address Line | 311 N ROBERTSON BLVD # 662
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1705
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Country | US
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Telephone | 323-930-2324
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Fax | 323-930-2497
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Authorized Official
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Title or Position | CEO
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Name | YOURAM NASSIR
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Credential | MD
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Telephone | 323-930-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A64603
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License Number State | CA
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