Active NPI
Hala .E. Hazzan, RPT
- Physical Therapist
- Glendale, CA
National Provider Identifier
1104135300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 147968
- Practice address
- 1869 Caminito de la Montana
Glendale, CA 91208-3044 - Phone
- (818) 266-8500
- NPI assigned
- Oct 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 147968 | CA | Primary |
Addresses
Primary practice location
1869 Caminito de la Montana
Glendale, CA 91208-3044
Mailing address
1869 Caminito de la Montana
Glendale, CA 91208-3044
Phone (818) 266-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147968 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1104135300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1869 CAMINITO DE LA MONTANA",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912083044",
"telephone_number": "818-266-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1869 CAMINITO DE LA MONTANA",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912083044",
"telephone_number": "818-266-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZZAN",
"first_name": "HALA",
"middle_name": ".E.",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "147968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.