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Individual

ETHAN QILONG HAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7300 MEDICAL CENTER DR, WEST HILLS, CA 91307-1902
(818) 676-4000
Mailing address
MAIMONIDES MEDICAL CENTER, 4802 10TH AVENUE, BROOKLYN, NY 11219

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A174843
CA
207P00000X
Emergency Medicine Physician
MD61452680
WA
207P00000X
Emergency Medicine Physician
ME130936
FL

Other

Enumeration date
03/28/2014
Last updated
08/17/2023
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