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Individual

KHALID S HASAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25078 PEACHLAND AVE, SUITE A, NEWHALL, CA 91321
(480) 821-2883
(480) 237-5799
Mailing address
25078 PEACHLAND AVE STE A, NEWHALL, CA 91321-2558
(661) 253-4420
(661) 253-4425

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
C134457
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
C134457
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147208
AZ
Enumeration date
04/06/2006
Last updated
07/10/2023
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