MEDICARE: DR. KAREEM H SASSI 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	390200000X	Student in an Organized Health Care Education/Training Program		CA
2	207RG0100X	Gastroenterology Physician	A119451	CA

General Provider Information

NPI Number	:	1164723839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREEM H SASSI M.D.

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:	310-301-8707
Fax Number	:	310-301-8751

Provider Business Practice Location Address
First Line	:	1223 16TH ST SUITE 3100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-7417
Country	:	US
Telephone Number	:	310-825-6240
Fax Number	:	424-259-7789

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

Provider Enumeration Date	:	11/10/2010
Last Update Date	:	02/28/2023

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