MEDICARE: SYED M HOSSAIN M.D. .

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	207Q00000X	Family Medicine Physician	A77221	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A77221	OTHER	CA	CA LICENSE NUMBER

General Provider Information

NPI Number	:	1083787907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED M HOSSAIN M.D. .

Provider Business Mailing Address
First Line	:	1711 W TEMPLE ST STE 4665
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7336
Country	:	US
Telephone Number	:	213-484-5250
Fax Number	:	213-263-2120

Provider Business Practice Location Address
First Line	:	1410 W ALONDRA BLVD STE B
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90220-3533
Country	:	US
Telephone Number	:	310-933-8755
Fax Number	:	310-933-8738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	02/25/2025

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