Organization
SHAZIA M HASAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAZIA MAHMOOD HASAN M.D. (OWNER)
(310) 675-1400
Entity
Organization
Contact information
Practice address
11633 HAWTHORNE BLVD, SUITE 400, HAWTHORNE, CA 90250-2321
(310) 675-1400
(310) 675-1402
Mailing address
11633 HAWTHORNE BLVD, SUITE 400, HAWTHORNE, CA 90250-2321
(310) 675-1400
(310) 675-1402
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A55223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE9271
RAILROAD MEDICARE
CA
Enumeration date
06/29/2006
Last updated
11/16/2009
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