Healthcare Provider Details

I. General information

NPI: 1699106344
Provider Name (Legal Business Name): HANA KHAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2013
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 LOMITA BLVD STE 201
TORRANCE CA
90505-5019
US

IV. Provider business mailing address

3500 LOMITA BLVD STE 201
TORRANCE CA
90505-5019
US

V. Phone/Fax

Practice location:
  • Phone: 424-247-6002
  • Fax:
Mailing address:
  • Phone: 424-247-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number62253
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: