Individual
BOB HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E HACIENDA AVE, CAMPBELL, CA 95008
(408) 871-6500
Mailing address
200 E HACIENDA AVE, CAMPBELL, CA 95008-6617
(408) 871-5854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A15826
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
01/14/2022
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