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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 |
