DR. LARA HASAN M.D. NPI 1174888200

NPI Information

  • NPI: 1174888200
  • Provider Name: DR. LARA HASAN, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 N PALM CANYON DR
    SUITE 212
    PALM SPRINGS, CA
    ZIP 92262
  • Phone: (760) 327-7900

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NPI Details

DR. Lara Hasan, M.D. is an obstetrics gynecology in Palm Springs, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Lara Hasan, M.D. NPI is 1174888200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 N PALM CANYON DR
SUITE 212
PALM SPRINGS, CA
ZIP 92262-414
Phone: (760) 327-7900
Fax: (760) 327-7905

The NPI 1174888200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/4/2012 and was last updated on 8/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyA141184CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DQ488AOTHERCALIFORNIAGROUP MEDICARE PTAN
2ZZZ27958ZOTHERCALIFORNIAGROUP MEDICARE PTAN
31174888200MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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