# MARY HANNON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932690351
- **Authorized official:** DR. MARY HANNON MD (OWNER)
- **Authorized official phone:** (703) 774-4850

## Contact information

- **Practice address:** 99 N LA CIENEGA BLVD STE 304, BEVERLY HILLS, CA 90211-2286
- **Practice address phone:** (310) 362-3099
- **Practice address fax:** (424) 355-0555
- **Mailing address:** 3 STRATFORD, MANHATTAN BEACH, CA 90266-7224
- **Mailing address phone:** (703) 774-4850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2018
- **Last updated:** 05/21/2018