Organization
HYDE PARK MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHIL RASHID KHAN M.D. (OWNER)
(310) 877-5692
Entity
Organization
Contact information
Practice address
13950 MILTON AVE, SUITE 404, WESTMINSTER, CA 92683-2900
(714) 568-1100
(714) 568-1101
Mailing address
6011 PACIFIC BLVD, SUITE 116, HUNTINGTON PARK, CA 90255-2951
(714) 568-1100
(714) 568-1101
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A62362
CA
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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