MEDICARE: SYED HOSSAIN, M.D., INC

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

General Provider Information

NPI Number	:	1710274881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYED HOSSAIN, M.D., INC

Provider Business Mailing Address
First Line	:	1711 W TEMPLE ST STE 6657
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7338
Country	:	US
Telephone Number	:	213-484-5250
Fax Number	:	213-263-2120

Provider Business Practice Location Address
First Line	:	1711 W TEMPLE ST STE 6657
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7338
Country	:	US
Telephone Number	:	213-484-5250
Fax Number	:	213-263-2120

Authorized Official
Title or Position	:	PHYSICIAN /CEO
Name	:	SYED MOHAMMAD G HOSSAIN
Credential	:	M.D
Telephone Number	:	213-484-5250

Provider Enumeration Date	:	07/08/2011
Last Update Date	:	11/18/2021

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