Individual
HANAN BASHAR ABDELFATTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(213) 977-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56240
CA
Other
Enumeration date
01/31/2019
Last updated
09/08/2020
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