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NPI Code Detail

MEDICARE: DR. MOHAMMAD HASSANI

MEDICARE:  DR. MOHAMMAD  HASSANI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPHY 47281CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15616985OTHERCANCPDP

General Provider Information

NPI Number : 1497722557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD HASSANI
Provider Business Mailing Address
First Line : 280 E DEL MAR BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91101-2746
Country : US
Telephone Number : 626-740-9530
Fax Number : 626-442-8840
Provider Business Practice Location Address
First Line : 3208 SANTA ANITA AVE
Second Line :
City : EL MONTE
State : CA
Zip : 91733-1360
Country : US
Telephone Number : 626-442-7696
Fax Number : 626-442-8840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MOHAMMAD HASSANI ” Practice Location

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