Provider Demographics
NPI:1346793312
Name:ABDELSALAM, HAZEM (MD)
Entity Type:Individual
Prefix:
First Name:HAZEM
Middle Name:
Last Name:ABDELSALAM
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 1:2841 LOMITA BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5111
Mailing Address - Country:US
Mailing Address - Phone:310-517-8950
Mailing Address - Fax:310-326-6054
Practice Address - Street 1:2841 LOMITA BLVD STE 235
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5111
Practice Address - Country:US
Practice Address - Phone:310-517-8950
Practice Address - Fax:310-326-6054
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125068016207R00000X
CA172630207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine