Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC20613 | CA |
N | 111NX0100X | Occupational Health | DC20613 | CA |
NPI | 1851540942 |
---|---|
Provider Name | Peter S. Hahn |
First Address | Garden Grove, CA 92845 |
Second Address | Garden Grove, CA 92845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2008 |
Last Update Date | 28/02/2011 |