Basic Information
Provider Information
NPI: 1831489939
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HASSON
FirstName: DUKE
MiddleName: WILLIAM CLIFFORD
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
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Mailing Information
Address1: 1120 W LA VETA AVE STE 300
Address2:  
City: ORANGE
State: CA
PostalCode: 928684246
CountryCode: US
TelephoneNumber: 7145981745
FaxNumber:  
Practice Location
Address1: 1120 W LA VETA AVE STE 300
Address2:  
City: ORANGE
State: CA
PostalCode: 928684246
CountryCode: US
TelephoneNumber: 7145981745
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/11/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X146603CAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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