Provider Demographics
NPI:1558883942
Name:SYED HOSSAIN, M.D., INC
Entity Type:Organization
Organization Name:SYED HOSSAIN, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-885-1422
Mailing Address - Street 1:1410 W ALONDRA BLVD # B
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-3533
Mailing Address - Country:US
Mailing Address - Phone:310-885-1423
Mailing Address - Fax:
Practice Address - Street 1:1410 W ALONDRA BLVD # B
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-3533
Practice Address - Country:US
Practice Address - Phone:310-885-1422
Practice Address - Fax:310-885-1423
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYED HOSSAIN, M.D., INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-07
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1710274881Medicaid