Khan, Omar Ahmed

Khan, Omar Ahmed is an individual health care provider with primary practice located at 323 N Prairie Ave , Inglewood CA 90301-4502. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Khan, Omar Ahmed can be contacted via phone (310) 846-2100.

Contact Information

Primary practice address
323 N Prairie Ave Inglewood CA 90301-4502
Phone: (310) 846-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 851513 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0995819-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95008495 California

Profile Details

NPI number 1629308135
LBN Legal business name Khan, Omar Ahmed
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2010
Last updated Jan 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629308135 NPPES
Colorado MEDICAID 9000193312

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