Healthcare Provider Details

I. General information

NPI: 1144914292
Provider Name (Legal Business Name): SABRINA KHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DIVISION OF DERMATOLOGY CHS 52-121 10833 LE CONTE AVE
LOS ANGELES CA
90095-3010
US

IV. Provider business mailing address

DIVISION OF DERMATOLOGY CHS 52-121 10833 LE CONTE AVE
LOS ANGELES CA
90095-0001
US

V. Phone/Fax

Practice location:
  • Phone: 310-917-3376
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA199235
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: