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Individual

MS. HANNA BOPARAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
30954 LOBO CANYON RD, AGOURA HILLS, CA 91301-3402
(747) 284-5700
Mailing address
6041 VARIEL AVE APT 435, WOODLAND HILLS, CA 91367-3858
(714) 614-8393

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60759
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60759
PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
10/17/2021
Last updated
03/07/2023
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