Provider Demographics
NPI:1881987832
Name:HUSSAIN, OMAR NOMAAN (MD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:NOMAAN
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8907 WILSHIRE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1928
Mailing Address - Country:US
Mailing Address - Phone:310-820-2111
Mailing Address - Fax:310-820-1368
Practice Address - Street 1:8907 WILSHIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1928
Practice Address - Country:US
Practice Address - Phone:310-820-2111
Practice Address - Fax:310-820-1368
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA116233208600000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery