Healthcare Provider Details

I. General information

NPI: 1073688255
Provider Name (Legal Business Name): ZUBEIDA HASSEN BIRHAN P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 WILSHIRE BLVD
LOS ANGELES CA
90057-3506
US

IV. Provider business mailing address

2007 WILSHIRE BLVD
LOS ANGELES CA
90057-3506
US

V. Phone/Fax

Practice location:
  • Phone: 213-205-1890
  • Fax:
Mailing address:
  • Phone: 213-205-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number18176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: