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DR. HUSSAIN AL-DARSANI M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1669429775
Individual Registrant:DR. HUSSAIN AL-DARSANI M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
13193 CENTRAL AVE SUITE 110 CHINO, CA 91710-4179 US
Tel: 909-287-0440 Fax: --
Tel: 909-287-0440 Fax: --
Contact information for business:
13193 CENTRAL AVE SUITE 110 CHINO, CA 91710-4179 US
Tel: 909-287-0440 Fax: --
Tel: 909-287-0440 Fax: --
Registration Information:
NPI: 1669429775
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | CA | A68782 |
| Y | 207RG0100X | Allopathic & Osteopathic Physicians Internal Medicine | CA | A68782 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A6878210 | CA | 05 |
