Individual ProviderMariam AssaadInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address27107 Tourney Rd, Santa Clarita, CA 91355-1860(661) 222-2470PECOS EnrollmentBased on the most recent information from CMS, provider Mariam Assaad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1548521875Provider TypeIndividualFull NameAssaad, MariamCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date6/4/2012Last Updated12/2/2021Contact InformationPractice LocationPractice Address27107 Tourney Rd, Santa Clarita, CA 91355-1860Phone(661) 222-2470FaxUnlisted FaxMailing LocationMailing Address27107 Tourney Rd, Santa Clarita, CA 91355-1860Phone(661) 222-2470FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA134023CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer