Provider Demographics
NPI:1104899608
Name:KHANNA, HAPPY N (MD)
Entity type:Individual
Prefix:
First Name:HAPPY
Middle Name:N
Last Name:KHANNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 E HUNTINGTON DR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3747
Mailing Address - Country:US
Mailing Address - Phone:626-447-3516
Mailing Address - Fax:626-447-3517
Practice Address - Street 1:1818 VERDUGO BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1403
Practice Address - Country:US
Practice Address - Phone:818-790-6300
Practice Address - Fax:818-790-6303
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2008-09-22
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Provider Licenses
StateLicense IDTaxonomies
ARA44278208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE65028Medicare UPIN