Nathaniel Raphael Hassan

Dentist · Palmdale, CA

Individual Active NPI

NPI number 1043768773

Practice location

38209 47TH St E Ste E
Palmdale, CA 93552-3113
Phone
(661) 236-0046

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NPI record

NPI
1043768773
Entity type
Individual (Type 1)
Enumeration date
September 12, 2016
Last updated
June 18, 2025
Certified
June 18, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 100796 CA

Mailing address

12317 Addison St.
Los Angeles, CA 91607
Phone
(818) 915-3894
Fax
(818) 915-3894

Other practice locations (1)

  • 18500 Via Princessa Ste 1, Santa Clarita, CA 91387-8325 · (661) 298-1100

About Nathaniel Hassan

Nathaniel Raphael Hassan is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 38209 47TH St E Ste E, Palmdale, CA 93552-3113. The NPI number 1043768773 was assigned on September 12, 2016 and the record was last updated on June 18, 2025.

Nathaniel Hassan lists a license in the registry: #100796 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nathaniel Raphael Hassan?

The NPI number is 1043768773.

What is the phone number of Nathaniel Hassan?

The phone number listed for the practice location is (661) 236-0046.

Where is Nathaniel Hassan located?

38209 47TH St E Ste E, Palmdale, CA 93552-3113.

What is the taxonomy code for Nathaniel Hassan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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