Individual
KHAN G HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121-6310
(858) 526-6100
Mailing address
2001 4TH AVE, SAN DIEGO, CA 92101-2303
(619) 446-1530
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C50338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C503380
—
CA
Enumeration date
08/10/2005
Last updated
01/10/2014
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