Individual
HAMIDA KHANMOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
393 EAST WALNUT STREET, PASADENA, CA 91188, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP, PASADENA, CA 91188
(626) 405-3224
Mailing address
SOUTHER CALIFORNIA PERMENTE, 393 EAST WALNUT STREET, PASADENA, CA 91188-0001
(626) 405-3224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19597
CA
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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