Hanan Bashar Abdelfattah, PA
Physician Assistant in Los Angeles, CA. Individual provider (NPI-1).
NPI number1699230953
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1699230953
- Entity type
- Individual (NPI-1)
- Name
- Hanan Bashar Abdelfattah
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2019
- Certification date
- Sep 8, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA56240 | CA | Yes |
Practice location
1225 Wilshire BlvdLos Angeles, CA 90017-1901
Phone 213-977-2121
Mailing address
Po Box 31309Los Angeles, CA 90031-0309
Phone 213-977-2121
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