Provider Demographics
NPI:1194835330
Name:ELBASSIR, MAGDI H (MD,)
Entity Type:Individual
Prefix:DR
First Name:MAGDI
Middle Name:H
Last Name:ELBASSIR
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 1:3161 GLENDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1805
Mailing Address - Country:US
Mailing Address - Phone:323-662-0365
Mailing Address - Fax:323-662-0368
Practice Address - Street 1:3161 GLENDALE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1805
Practice Address - Country:US
Practice Address - Phone:323-662-0365
Practice Address - Fax:323-662-0368
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA86654208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice