Organization · NPI-2

Hyde Park Medical Group, INC.

Physical Medicine & Rehabilitation, Sports Medicine · Westminster, CA

NPI number1770822645

StatusActive

Last updated in NPPESFeb 12, 2013

Details

NPI: 1770822645
Entity type: Organization (NPI-2)
Legal business name: Hyde Park Medical Group, INC.
Organization subpart: No
Enumeration date: Feb 12, 2013
Last updated: Feb 12, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2081S0010X	Physical Medicine & Rehabilitation, Sports Medicine	A62362	CA	Yes

Practice location

13950 Milton Ave
Suite 404
Westminster, CA 92683-2900

Phone 714-568-1100 · Fax 714-568-1101

Mailing address

6011 Pacific Blvd
Suite 116
Huntington Park, CA 90255-2951

Phone 714-568-1100 · Fax 714-568-1101

Authorized official

Rahil Rashid Khan
Owner
3108775692

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