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Organization

HARRISON HASANUDDIN, D.O., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARRISON HASANUDDIN DO (PRESIDENT)
(626) 763-1899
Entity
Organization

Contact information

Practice address
420 N GARFIELD AVE STE 203, MONTEREY PARK, CA 91754-1206
(626) 763-1899
(626) 547-4438
Mailing address
420 N GARFIELD AVE STE 203, MONTEREY PARK, CA 91754-1206
(626) 763-1899
(626) 547-4438

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QB0002X
Obesity Medicine (Family Medicine) Physician
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
07/11/2023
Last updated
06/22/2025
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