Organization
KHALIDA PATHAN MD DBA KP MEDICAL CENTER
Active
Other names
KP Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALIDA A PATHAN MD (PHYSICIAN/SOLE PROPRIETOR)
(626) 696-3692
Entity
Organization
Contact information
Practice address
888 MORADA PL, ALTADENA, CA 91001-2425
(626) 696-3692
Mailing address
888 MORADA PL, ALTADENA, CA 91001-2425
(626) 696-3692
(626) 696-3784
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
305R00000X
Preferred Provider Organization
A97589
CA
Other
Enumeration date
06/30/2016
Last updated
04/30/2021
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