Provider Demographics
NPI:1407071327
Name:HASSOURI, PARIA (MD)
Entity Type:Individual
Prefix:
First Name:PARIA
Middle Name:
Last Name:HASSOURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8733 BEVERLY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1844
Mailing Address - Country:US
Mailing Address - Phone:310-652-3981
Mailing Address - Fax:
Practice Address - Street 1:8733 BEVERLY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1844
Practice Address - Country:US
Practice Address - Phone:310-652-3981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97799208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics