Provider Demographics
NPI:1760009518
Name:SAADA, HASSAN (DNP, NP-C)
Entity type:Individual
Prefix:
First Name:HASSAN
Middle Name:
Last Name:SAADA
Suffix:
Gender:M
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SANTA FE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5141
Mailing Address - Country:US
Mailing Address - Phone:760-436-4558
Mailing Address - Fax:
Practice Address - Street 1:320 SANTA FE DR STE 108
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5141
Practice Address - Country:US
Practice Address - Phone:760-436-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-28
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02271363LA2200X
CA95028376363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health