Individual
JOSHUA D HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5170 SEPULVEDA BLVD, STE 100, SHERMAN OAKS, CA 91403-1171
(818) 784-3878
(818) 907-0061
Mailing address
5170 SEPULVEDA BLVD, STE 100, SHERMAN OAKS, CA 91403-1171
(818) 784-3878
(818) 907-0061
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000578400
—
FL
Enumeration date
10/28/2008
Last updated
11/30/2021
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