Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A52577 | CA |
NPI | 1003954942 |
---|---|
Provider Name | Dr. Hanaa N Hanna |
First Address | San Pedro, CA 90731-3603 |
Second Address | San Pedro, CA 90731-3603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 23/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1811342751 | NPPES (01) | CA |
1952337321 | (05) | CA |