Provider Demographics
NPI:1235409673
Name:MERZA, HUSSEIN (MD)
Entity Type:Individual
Prefix:
First Name:HUSSEIN
Middle Name:
Last Name:MERZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:260 E ONTARIO AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3508
Mailing Address - Country:US
Mailing Address - Phone:951-371-2411
Mailing Address - Fax:951-284-0177
Practice Address - Street 1:260 E ONTARIO AVE STE 101
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3508
Practice Address - Country:US
Practice Address - Phone:951-371-2411
Practice Address - Fax:951-284-0177
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA168484207RH0000X, 207RH0003X
PAMT212544207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology