Individual
MOHAMMAD IMTIAZ HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, PMHNP-BC
Contact information
Practice address
1335 3/4 N EDGEMONT ST, LOS ANGELES, CA 90027-5911
(213) 361-2636
Mailing address
1335 3/4 N EDGEMONT ST, LOS ANGELES, CA 90027-5911
(213) 361-2636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95025749
CA
Other
Enumeration date
08/14/2023
Last updated
02/23/2026
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