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Organization
HAN FAMILY MEDICAL GROUP INC
Active
Organization
HAN FAMILY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT HAN DO (PRESIDENT)
(562) 318-0810
Entity
Organization
Contact information
Practice address
11637 THE PLZ UNIT 45, NORWALK, CA 90650-3930
(562) 318-0810
(562) 318-0811
Mailing address
11637 THE PLZ UNIT 45, NORWALK, CA 90650-3930
(562) 318-0810
(562) 318-0811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A15879
OSTEOPATHIC MEDICINE
CA
Enumeration date
03/02/2021
Last updated
03/02/2021
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