Provider Demographics
NPI:1396981213
Name:HASSAN, RAHNIA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RAHNIA
Middle Name:
Last Name:HASSAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 ORINDA AVE
Mailing Address - Street 2:
Mailing Address - City:VIEW PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90043-1605
Mailing Address - Country:US
Mailing Address - Phone:213-820-5069
Mailing Address - Fax:
Practice Address - Street 1:4883 PRESIDIO DR
Practice Address - Street 2:
Practice Address - City:VIEW PARK
Practice Address - State:CA
Practice Address - Zip Code:90043-1607
Practice Address - Country:US
Practice Address - Phone:213-820-5069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-23
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34956225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist