# HANA MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HANA MEDICAL GROUP, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578605390
- **Authorized official:** MERCEDES BLASCO SAMSON MD (ADMINISTRATOR)
- **Authorized official phone:** (714) 527-4833

## Contact information

- **Practice address:** 8615 KNOTT AVE STE 3, BUENA PARK, CA 90620-3886
- **Practice address phone:** (714) 527-4833
- **Practice address fax:** (714) 527-5986
- **Mailing address:** 8615 KNOTT AVE STE 3, BUENA PARK, CA 90620-3886
- **Mailing address phone:** (714) 527-4833
- **Mailing address fax:** (714) 527-5986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 03/30/2020