Provider Demographics
NPI:1710274881
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:PHYSICIAN /CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:MOHAMMAD G
Authorized Official - Last Name:HOSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-484-5250
Mailing Address - Street 1:1711 W TEMPLE ST STE 6657
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-7338
Mailing Address - Country:US
Mailing Address - Phone:213-484-5250
Mailing Address - Fax:213-263-2120
Practice Address - Street 1:1711 W TEMPLE ST STE 6657
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-7338
Practice Address - Country:US
Practice Address - Phone:213-484-5250
Practice Address - Fax:213-263-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty