Healthcare Provider Details

I. General information

NPI: 1104899608
Provider Name (Legal Business Name): HAPPY N KHANNA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 09/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 VERDUGO BLVD SUITE 300
GLENDALE CA
91208-1403
US

IV. Provider business mailing address

301 E HUNTINGTON DR SUITE 320
ARCADIA CA
91006-3747
US

V. Phone/Fax

Practice location:
  • Phone: 818-790-6300
  • Fax: 818-790-6303
Mailing address:
  • Phone: 626-447-3516
  • Fax: 626-447-3517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA44278
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: