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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982797593 | NPPES |
| California | Other | A067317 | CALIFORNIA STATE LICENSE |
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