Umar, Sanusi Hambali

Umar, Sanusi Hambali is an sole proprietor health care provider with primary practice located at 819 N Harbor Dr Suite 400, Redondo Beach CA 90277-2006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Umar, Sanusi Hambali can be contacted via phone (310) 480-0490.

Contact Information

Primary practice address
819 N Harbor Dr Suite 400 Redondo Beach CA 90277-2006
Phone: (310) 480-0490
Fax: (310) 318-1590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A067317 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X A067317 California

Profile Details

NPI number 1982797593
LBN Legal business name Umar, Sanusi Hambali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Dec 11th, 2008 - about 16 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 1982797593 NPPES
California Other A067317 CALIFORNIA STATE LICENSE

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