Healthcare Provider Details

I. General information

NPI: 1760009518
Provider Name (Legal Business Name): HASSAN SAADA DNP, NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2020
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SANTA FE DR STE 108
ENCINITAS CA
92024-5141
US

IV. Provider business mailing address

320 SANTA FE DR STE 108
ENCINITAS CA
92024-5141
US

V. Phone/Fax

Practice location:
  • Phone: 760-436-4558
  • Fax:
Mailing address:
  • Phone: 760-436-4558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN02271
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95028376
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: