Bassam Mouazzen M.d., P.c.

NPI #1730348830 in Glendora, California

Provider Information

NPI Number: 1730348830
Entity Type: Organization
Organization Name: Bassam Mouazzen M.d., P.c.
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: Jun 3, 2008
Last Updated: Jun 3, 2008

Practice Location

Address: 415 W ROUTE 66
Address 2: SUITE 101
City: Glendora
State: California
ZIP Code: 91740-4335
Phone: (626) 852-9986

Authorized Official

Name: DR. BASSAM MOUAZZEN, M.D.
Title: PRESIDENT
Phone: (626) 852-9986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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