Provider Demographics
NPI:1154422665
Name:NASSIF, PAUL S (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:NASSIF
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Gender:M
Credentials:MD
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Mailing Address - Street 1:120 S SPALDING DR
Mailing Address - Street 2:SUITE 315
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1836
Mailing Address - Country:US
Mailing Address - Phone:310-275-2467
Mailing Address - Fax:310-275-6651
Practice Address - Street 1:120 S SPALDING DR
Practice Address - Street 2:SUITE 315
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1800
Practice Address - Country:US
Practice Address - Phone:310-275-2467
Practice Address - Fax:310-275-6651
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2009-10-29
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Provider Licenses
StateLicense IDTaxonomies
CAG84590207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG84590Medicare PIN