| Hameed a Khan M D Inc | |
|
3655 Lomita Blvd Suite 421 Torrance CA 90505-3931 | |
| (310) 540-5464 | |
| (310) 540-4761 |
| Full Name | Hameed a Khan M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3655 Lomita Blvd, Torrance, California |
| Authorized Official Name and Position | Hameed a Khan (MD/OWNER) |
| Authorized Official Contact | 3105405464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hameed a Khan M D Inc 3655 Lomita Blvd Suite 421 Torrance CA 90505-3931 Ph: (310) 540-5464 | Hameed a Khan M D Inc 3655 Lomita Blvd Suite 421 Torrance CA 90505-3931 Ph: (310) 540-5464 |
| NPI Number | 1427006113 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Medicare PECOS PAC ID | 6507758208 |
|---|---|
| Medicare Enrollment ID | O20040326001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427006113 | NPI | - | NPPES |
| 00A314530 | Medicaid | CA | |
| W2731 | Other | CA | M/CARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Primary |
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