Individual
DR. HUSSAIN AL-DARSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5562 PHILADELPHIA ST STE 203, CHINO, CA 91710-2482
(909) 287-0440
(909) 287-0145
Mailing address
5562 PHILADELPHIA ST STE 203, CHINO, CA 91710-2482
(909) 287-0440
(909) 287-0145
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A68782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A6768210
—
CA
05
—
00A6878210
—
CA
01
—
743237905
IRS
CA
Enumeration date
05/27/2006
Last updated
07/18/2024
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