Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A38218 | CA |
NPI | 1043300114 |
---|---|
Provider Name | Dr. William I Han |
First Address | Fountain Valley, CA 92708-4092 |
Second Address | Fountain Valley, CA 92708-4092 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A382180 | (05) | CA |
A85112 | (02) |