Healthcare Provider Details

I. General information

NPI: 1427006113
Provider Name (Legal Business Name): HAMEED A KHAN M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 LOMITA BLVD SUITE 421
TORRANCE CA
90505-3931
US

IV. Provider business mailing address

3655 LOMITA BLVD SUITE 421
TORRANCE CA
90505-3931
US

V. Phone/Fax

Practice location:
  • Phone: 310-540-5464
  • Fax: 310-540-4761
Mailing address:
  • Phone: 310-540-5464
  • Fax: 310-540-4761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HAMEED A KHAN
Title or Position: MD/OWNER
Credential: M D
Phone: 310-540-5464