Provider Demographics
NPI:1699221192
Name:HASSIN, HAROLD
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:HASSIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BELVEDERE
Mailing Address - State:CA
Mailing Address - Zip Code:94920-2368
Mailing Address - Country:US
Mailing Address - Phone:415-435-5766
Mailing Address - Fax:
Practice Address - Street 1:28 BAYVIEW AVE
Practice Address - Street 2:28
Practice Address - City:BELVEDERE
Practice Address - State:CA
Practice Address - Zip Code:94920-2368
Practice Address - Country:US
Practice Address - Phone:415-435-5766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20663207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology