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General NPI Number Information
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NPI Number | 1710037346
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Entity Type | Organization
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Legal Business Name | H. JOSEPH KHAN, M.D., INC.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 12881 CHAPMAN AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4100
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Country | US
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Telephone | 714-663-2000
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Fax | 714-663-9953
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Provider Business Mailing Address
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Address Line | 1629 W 17TH ST SUITE A
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City | SANTA ANA
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State | CA
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Zip | 92706-3335
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Country | US
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Telephone | 714-972-2111
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Fax | 714-972-2045
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HUMAYON YOUSUF KHAN
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Credential | M.D.
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Telephone | 714-972-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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