Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 00000000000000 | CA |
NPI | 1023149044 |
---|---|
Provider Name | Dr. Erik Nathan Hansen |
First Address | San Francisco, CA 94158 |
Second Address | San Francisco, CA 94158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 25/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00697307 | RAILROAD MEDICARE (01) | CA |