Provider Demographics
NPI:1114977071
Name:NASSIR, YOURAM (MD)
Entity Type:Individual
Prefix:DR
First Name:YOURAM
Middle Name:
Last Name:NASSIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N ROBERTSON BLVD
Mailing Address - Street 2:#662
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1705
Mailing Address - Country:US
Mailing Address - Phone:323-997-5185
Mailing Address - Fax:323-395-5784
Practice Address - Street 1:5901 W OLYMPIC BLVD STE 505
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4670
Practice Address - Country:US
Practice Address - Phone:323-930-2324
Practice Address - Fax:323-395-5784
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64603207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA64603OtherMEDICAL LICENSE NUMBER
CA00A646030Medicaid
CA00A646030Medicaid
CAA64603OtherMEDICAL LICENSE NUMBER