| Doctor Name: | DR. MAGDI H ELBASSIR |
| NPI Number: | 1194835330 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., |
| License Number: | A86654 |
| Business Practice Address: | 3161 Glendale Blvd Los Angeles, CA - 900391805 |
| Business Phone Number: | 3236620365 |
| Business Fax Number: | 3236620368 |
| Mailing Address: | 3161 Glendale Blvd, LOS ANGELES |
| State: | CA |
| Postal Code: | 900391805 |
| Phone Number: | 3236620365 |
| Fax Number: | 3236620368 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A86654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |