MR. Hazam Mansour Ademhizam, PHYSICIAN ASSISTANT
NPI #1073645131 in Buena Park, California
Provider Information
- NPI Number
- 1073645131
- Entity Type
- Individual
- Name
- MR. Hazam Mansour Ademhizam, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6744 KNOTT AVE APT 4
- City
- Buena Park
- State
- California
- ZIP Code
- 90621-2736
- Phone
- (714) 228-0715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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