Individual
HANNA KI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
408 S BEACH BLVD STE 111, ANAHEIM, CA 92804-1866
(714) 826-8800
Mailing address
408 S BEACH BLVD STE 111, ANAHEIM, CA 92804-1866
(714) 826-8800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95097816
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95023995
CA
Other
Enumeration date
06/27/2020
Last updated
03/14/2025
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