Provider Demographics
NPI:1821324666
Name:PAUL NASSIF MD INC
Entity Type:Organization
Organization Name:PAUL NASSIF MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:NASSIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-275-2467
Mailing Address - Street 1:120 S SPALDING DR STE 315
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1836
Mailing Address - Country:US
Mailing Address - Phone:310-275-2467
Mailing Address - Fax:310-275-6651
Practice Address - Street 1:120 S SPALDING DR STE 315
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1836
Practice Address - Country:US
Practice Address - Phone:310-275-2467
Practice Address - Fax:310-275-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84590207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty