Provider Demographics
NPI:1972391001
Name:EL-HASSAN, MOUSTAFA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MOUSTAFA
Middle Name:
Last Name:EL-HASSAN
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 N CLARK DR APT A
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-4718
Mailing Address - Country:US
Mailing Address - Phone:612-735-5548
Mailing Address - Fax:
Practice Address - Street 1:9100 WILSHIRE BLVD STE 840W
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3556
Practice Address - Country:US
Practice Address - Phone:424-777-0708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA842761835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty