Organization
HUSSAIN AL-DARSANI A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUSSAIN AL-DARSANI M.D. (OWNER)
(909) 287-0440
Entity
Organization
Contact information
Practice address
5562 PHILADELPHIA ST STE 203, CHINO, CA 91710-2482
(909) 287-0440
(909) 287-0145
Mailing address
PO BOX 487, UPLAND, CA 91785-0487
(909) 287-0440
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A6878210
—
CA
Enumeration date
12/07/2007
Last updated
07/18/2024
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