MEDICARE: DR. MAZEN HASHISHO 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	2086S0129X	Vascular Surgery Physician	A94329	CA
2	2086S0129X	Vascular Surgery Physician	MD441265	PA
3	2086S0129X	Vascular Surgery Physician	002845	NY
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	A94329	CA

General Provider Information

NPI Number	:	1255524427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAZEN HASHISHO M.D.

Provider Business Mailing Address
First Line	:	5150 E PACIFIC COAST HWY STE 500
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3328
Country	:	US
Telephone Number	:	562-299-5200
Fax Number	:	562-299-5294

Provider Business Practice Location Address
First Line	:	12555 GARDEN GROVE BLVD STE 403
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1903
Country	:	US
Telephone Number	:	562-506-0176
Fax Number	:	562-506-0053

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

Provider Enumeration Date	:	08/21/2007
Last Update Date	:	06/16/2020

Similar Medicare Providers

1093816738 — DR. RAMAN CHOPRA MD
Practice Location Address:

12555 GARDEN GROVE BLVD , SUITE 404
GARDEN GROVE, CA
92843-1903

Practice Phone: 714-638-0232
Practice Fax: 714-638-0821

1730238692 — STEVE S. YOON, DPM A PROFESSIONAL CORPORATION
Practice Location Address:

12555 GARDEN GROVE BLVD STE 303
GARDEN GROVE, CA
92843-1903

Practice Phone: 714-537-4100
Practice Fax: 714-537-4126

1326263633 — GARDEN GROVE PRIMARY CARE MEDICINE, INC.
Practice Location Address:

12555 GARDEN GROVE BLVD STE 301
GARDEN GROVE, CA
92843-1903

Practice Phone: 714-741-0501
Practice Fax: 714-741-0095

1396960563 — GARDEN GROVE WOMEN'S HEALTH SPECIALISTS, INC.
Practice Location Address:

12555 GARDEN GROVE BLVD STE 301
GARDEN GROVE, CA
92843-1903

Practice Phone: 714-741-0501
Practice Fax: 714-741-0095

1386812394 — SOOMCHUNGMDONCOLOGY-HEMATOLOGYPC
Practice Location Address:

12555 GARDEN GROVE BLVD STE 309
GARDEN GROVE, CA
92843-1903

Practice Phone: 714-539-6414
Practice Fax: 714-539-6933

1053579136 — ANDREW H AHN MD PROFESSIONAL CORPORATION
Practice Location Address:

12555 GARDEN GROVE BLVD , SUITE 403
GARDEN GROVE, CA
92843-1903

Practice Phone: 714-530-0303
Practice Fax:

Directions to “ DR. MAZEN HASHISHO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.