SearchCalifornia1223G0001X

Kerills Hossam Azer Habashi

NPI 1992417182 · on the registry since 2022 · sole proprietor

Practice

Address
1250 S Brookhurst St Unit 2074
Anaheim, CA 92804
Phone
(714) 423-4436

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California