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Paul Y Han
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NPI Number Detailed Information
Provider Information:
Name: | Paul Y Han |
Gender: | M |
Provider License Number If Given: | E3270 |
NPI Information:
NPI: | 1972506988 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 11/13/2007 |
Provider Business Mailing Address:
Address: | PO BOX 8877 Fountain Valley, CA 92728 |
Phone Number: | 7148501300 |
Fax Number: | 7148501301 |
Provider Business Practice Location Address:
Address: | 2621 S BRISTOL ST STE 209 Santa Ana, CA 92704 |
Phone Number: | 7148501300 |
Fax Number: | 7148501301 |
Provider Taxonomy:
Primary: | 213ES0103X |
Secondary (if any): | |
State: | CA |