| Syed Hossain, M.d., Inc | |
|
1711 W Temple St Ste 6657 Los Angeles CA 90026-7338 | |
| (213) 484-5250 | |
| (213) 263-2120 |
| Full Name | Syed Hossain, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1711 W Temple St Ste 6657, Los Angeles, California |
| Authorized Official Name and Position | Syed Mohammad G Hossain (PHYSICIAN /CEO) |
| Authorized Official Contact | 2134845250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed Hossain, M.d., Inc 1711 W Temple St Ste 6657 Los Angeles CA 90026-7338 Ph: (213) 484-5250 | Syed Hossain, M.d., Inc 1711 W Temple St Ste 6657 Los Angeles CA 90026-7338 Ph: (213) 484-5250 |
| NPI Number | 1710274881 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 11/18/2021 |
| Medicare PECOS PAC ID | 6608049465 |
|---|---|
| Medicare Enrollment ID | O20111024000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710274881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A77221 (California) | Primary |
| Provider Name | Syed M G Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083787907 PECOS PAC ID: 9436165404 Enrollment ID: I20070410000734 |
| Provider Name | Ajmal Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017712 PECOS PAC ID: 2365570504 Enrollment ID: I20100510000669 |
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