# HARRISON HASANUDDIN, D.O., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386323038
- **Authorized official:** HARRISON HASANUDDIN DO (PRESIDENT)
- **Authorized official phone:** (626) 763-1899

## Contact information

- **Practice address:** 420 N GARFIELD AVE STE 203, MONTEREY PARK, CA 91754-1206
- **Practice address phone:** (626) 763-1899
- **Practice address fax:** (626) 547-4438
- **Mailing address:** 420 N GARFIELD AVE STE 203, MONTEREY PARK, CA 91754-1206
- **Mailing address phone:** (626) 763-1899
- **Mailing address fax:** (626) 547-4438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2023
- **Last updated:** 06/22/2025