Individual
HARRISON HASANUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
420 N GARFIELD AVE STE 203, MONTEREY PARK, CA 91754-1206
(626) 763-1899
(626) 547-4438
Mailing address
420 N GARFIELD AVE STE 203, MONTEREY PARK, CA 91754-1206
(626) 763-1899
(626) 547-4438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A16309
CA
207QB0002X
Obesity Medicine (Family Medicine) Physician
20A16309
CA
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
20A16309
CA
Other
Enumeration date
06/04/2015
Last updated
06/22/2025
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