HEITHAM HASSOUN M.D. NPI 1407806797

NPI Information

  • NPI: 1407806797
  • Provider Name: HEITHAM HASSOUN, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8700 BEVERLY BLVD
    WEST HOLLYWOOD, CA
    ZIP 90048
  • Phone: (424) 315-4508

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NPI Details

Heitham Hassoun, M.D. is a vascular surgery surgery in West Hollywood, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Heitham Hassoun, M.D. NPI is 1407806797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA
ZIP 90048-804
Phone: (424) 315-4508
Fax: (310) 423-0246

The NPI 1407806797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryL0817TEXASNo
22086S0129XSurgeryVascular SurgeryD63527MARYLANDNo
32086S0129XSurgeryVascular SurgeryC160417CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18BZ860OTHERTEXASBLUE CROSS BLUE SHIELD
2141192802MEDICAIDTEXAS
3141192803MEDICAIDTEXAS
4408464100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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