Farrag, Hassan Salah

Farrag, Hassan Salah is an sole proprietor health care provider with primary practice located at 17075 Devonshire St Suite 204, Northridge CA 91325-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Farrag, Hassan Salah can be contacted via phone (818) 368-8929.

Contact Information

Primary practice address
17075 Devonshire St Suite 204 Northridge CA 91325-1600
Phone: (818) 368-8929
Fax: (818) 368-8940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A43178 California

Profile Details

NPI number 1770684896
LBN Legal business name Farrag, Hassan Salah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jan 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770684896 NPPES
California MEDICAID 00A431780

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