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Organization
IBRAHIM HANNA, M.D., INC.
Active
Organization
IBRAHIM HANNA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HANNA (OFFICE MANAGER)
(626) 335-4041
Entity
Organization
Contact information
Practice address
640 W. FOOTHILL BLVD., SUITE 100, GLENDORA, CA 91741-2403
(626) 335-4041
(626) 335-3768
Mailing address
640 W. FOOTHILL BLVD., SUITE 100, GLENDORA, CA 91741-2403
(626) 335-4041
(626) 335-3768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A50259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A502591
—
CA
01
—
110238745
RAILROAD MEDICARE
CA
01
—
DR4687
MEDICARE RR
CA
Enumeration date
09/14/2010
Last updated
01/20/2012
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