Individual
DEENA MARIE HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
529 MAPLE AVE, LOS ANGELES, CA 90013-1511
(213) 629-6200
(213) 895-6263
Mailing address
529 MAPLE AVE, LOS ANGELES, CA 90013-1511
(213) 629-6200
(213) 895-6263
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A137857
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A137857
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT HEALTH CARE
CA
Enumeration date
03/14/2014
Last updated
11/20/2020
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