Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A064536 | CA |
NPI | 1023076221 |
---|---|
Provider Name | Catherine Y Han |
First Address | Laguna Hills, CA 92653-3633 |
Second Address | Laguna Hills, CA 92653-3633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 06/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H22568 | (02) | CA |