Provider Demographics
NPI:1871985309
Name:AL-ATASSI, TALAL (MD, CM, MPH, FRCSC)
Entity type:Individual
Prefix:DR
First Name:TALAL
Middle Name:
Last Name:AL-ATASSI
Suffix:
Gender:M
Credentials:MD, CM, MPH, FRCSC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5600 WILSHIRE BLVD
Mailing Address - Street 2:APT 545
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3769
Mailing Address - Country:US
Mailing Address - Phone:323-715-7613
Mailing Address - Fax:
Practice Address - Street 1:127 SOUTH SAN VICENTE BLVD
Practice Address - Street 2:SUITE A3306
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-423-3851
Practice Address - Fax:310-423-0127
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA134886208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)