NPI
Hazam Mansour Ademhizam
NPI 1073645131
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- Physician Assistant
- Type
- Individual
- Enumeration date
- 2007-03-12
- Last updated
- 2007-07-08
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Specialties
Licenses
- License CA
- PA 19085
Location
- Practice location
- 6744 Knott Ave Apt 4
- City
- Buena Park CA
- Postal code
- 90621-2736
- Phone
- (714) 228-0715
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physician Assistants in Buena Park, CA. 5 with this primary taxonomy in the public file.
Other NPIs in Buena Park, CA. 1,127 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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