Provider Demographics
NPI:1912194937
Name:MONSEF, HENGAMEH (DO)
Entity Type:Individual
Prefix:
First Name:HENGAMEH
Middle Name:
Last Name:MONSEF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:881 ALMA REAL DR
Mailing Address - Street 2:SUIT # 300A
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3731
Mailing Address - Country:US
Mailing Address - Phone:310-230-7400
Mailing Address - Fax:310-230-7440
Practice Address - Street 1:50 BELLEFONTAINE ST
Practice Address - Street 2:SUIT # 307
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3132
Practice Address - Country:US
Practice Address - Phone:626-352-1444
Practice Address - Fax:626-397-2968
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2012-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8564207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine