Individual
NASREEN BABU-KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
970 MONUMENT ST, SUITE 114, PACIFIC PALISADES, CA 90272-3800
(310) 454-5915
(310) 454-5027
Mailing address
970 MONUMENT ST, SUITE 114, PACIFIC PALISADES, CA 90272-3800
(310) 454-5915
(310) 454-5027
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G75944
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-4698937
TAX ID #
CA
01
—
G75944
LICENSE #
CA
Enumeration date
11/01/2006
Last updated
07/09/2007
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