Basic Information
| Provider Information | |||||||||
| NPI: | 1518326933 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHAHINE | ||||||||
| FirstName: | HASSAN | ||||||||
| MiddleName: | ALI | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2040 S SANTA CRUZ ST STE 240 | ||||||||
| Address2: | |||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928056805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7142022330 | ||||||||
| FaxNumber: | 7142022333 | ||||||||
| Practice Location | |||||||||
| Address1: | 2040 S SANTA CRUZ ST STE 240 | ||||||||
| Address2: | |||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7142022330 | ||||||||
| FaxNumber: | 7142022333 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2016 | ||||||||
| LastUpdateDate: | 12/19/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/19/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A151005 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.