Provider Demographics
NPI:1437024932
Name:HASAN & ALAZZEH MEDICAL, P.C.
Entity type:Organization
Organization Name:HASAN & ALAZZEH MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MUFADDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-628-5227
Mailing Address - Street 1:967 KENDALL DR
Mailing Address - Street 2:STE A-510
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-4306
Mailing Address - Country:US
Mailing Address - Phone:626-628-5227
Mailing Address - Fax:
Practice Address - Street 1:242 E. AIRPORT DR.
Practice Address - Street 2:STE 100
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3408
Practice Address - Country:US
Practice Address - Phone:626-628-5227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty