Provider Demographics
NPI:1861683286
Name:HASAN, JAMAL Y (MD)
Entity Type:Individual
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First Name:JAMAL
Middle Name:Y
Last Name:HASAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:501 E 27TH
Mailing Address - Street 2:202
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806
Mailing Address - Country:US
Mailing Address - Phone:562-933-8750
Mailing Address - Fax:562-933-8014
Practice Address - Street 1:2801 ATLANTIC AVE
Practice Address - Street 2:2ND FL, NICU
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1701
Practice Address - Country:US
Practice Address - Phone:562-933-8750
Practice Address - Fax:562-933-8014
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2009-04-23
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Provider Licenses
StateLicense IDTaxonomies
CAA866632080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine