Provider Demographics
NPI:1962581967
Name:SASSOON, AARON F (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:F
Last Name:SASSOON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 W LA VETA AVE
Mailing Address - Street 2:SUITE 608
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4213
Mailing Address - Country:US
Mailing Address - Phone:714-288-4044
Mailing Address - Fax:714-288-2042
Practice Address - Street 1:1201 W LA VETA AVE
Practice Address - Street 2:SUITE 608
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4213
Practice Address - Country:US
Practice Address - Phone:714-288-4044
Practice Address - Fax:714-288-2042
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG73918207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G739180Medicaid
CAWG73918HMedicare PIN
CAWG73918FMedicare PIN
CA00G739180Medicaid
CAWG73918GMedicare PIN