Individual provider · Type 1 NPI
Omar Ahmed Khan, DNP, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Inglewood, CA
NPI number
1629308135
Active
Practice location
323 N Prairie Ave
Inglewood, CA 90301-4502
Mailing address
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Other practice locations
- 4760 Sepulveda Blvd, Culver City, CA 90230-4820 · (310) 390-6612
- 1465 Kelly Johnson Blvd Ste 305, Colorado Springs, CO 80920-3947 · (719) 495-3359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 851513 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0995819-NP (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95008495 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629308135
Omar Ahmed Khan, DNP, APRN, PMHNP-BC's National Provider Identifier is 1629308135, issued on Jan 5, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Inglewood, CA. The record was last updated on Jan 2, 2025.