Healthcare Provider Details

I. General information

NPI: 1174455299
Provider Name (Legal Business Name): LEE HASSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

810 LAWRENCE DR STE 100A
NEWBURY PARK CA
91320-6617
US

IV. Provider business mailing address

23220 VANOWEN ST
WEST HILLS CA
91307-2422
US

V. Phone/Fax

Practice location:
  • Phone: 805-667-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number403773
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: