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1245913441
MOHAMMAD IMTIAZ HUSSAIN
LOS ANGELES, CA
NPI
1245913441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA NP95025749)
Enumeration Date
2023-08-14
Last Update Date
2024-09-03
Business Address
MOHAMMAD IMTIAZ HUSSAIN RN, PMHNP-BC
1335 N EDGEMONT ST
LOS ANGELES, CA 90027-5911
Phone number: 213-361-2636
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Mailing Address
MOHAMMAD IMTIAZ HUSSAIN RN, PMHNP-BC
1335 N EDGEMONT ST
LOS ANGELES, CA 90027-5911
Phone number: 213-361-2636
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