Organization
S NICK HANSA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S NICK HANSA MD (PRESIDENT)
(661) 327-0739
Entity
Organization
Contact information
Practice address
6401 TRUXTUN AVE, BAKERSFIELD, CA 93309-0613
(661) 327-0739
(661) 631-2210
Mailing address
6401 TRUXTUN AVE, BAKERSFIELD, CA 93309-0613
(661) 327-0739
(661) 631-2210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4493736
—
CA
Enumeration date
06/19/2006
Last updated
03/03/2010
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