Imran Khan, PMHNP
Nurse Practitioner, Psych/Mental Health in Spring Valley, CA. Individual provider (NPI-1).
NPI number1801267828
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1801267828
- Entity type
- Individual (NPI-1)
- Name
- Imran Khan
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2015
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95025725 | CA | Yes |
| 163W00000X | Registered Nurse | 707089 | NY | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 404765 | NY |
Practice location
8788 Jamacha RdSpring Valley, CA 91977-4035
Phone 619-515-2385 · Fax 619-589-2812
Mailing address
823 Gateway Center WaySan Diego, CA 92102-4541
Phone 619-515-2300 · Fax 619-589-2812
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