Organization
PEDIATRIC ADULT ENDOCRINE GILBERT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID SYED HASAN MD (OWNERPHYSICIAN)
(661) 253-4420
Entity
Organization
Contact information
Practice address
25078 PEACHLAND AVE STE A, NEWHALL, CA 91321-2558
(661) 253-4420
(661) 253-4425
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
07/11/2010
Last updated
07/31/2023
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