Individual
DR. OMAR AHMED KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
323 N PRAIRIE AVE, INGLEWOOD, CA 90301-4502
(310) 846-2100
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
851513
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95008495
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0995819-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000193312
—
CO
Enumeration date
01/05/2010
Last updated
01/02/2025
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