Individual
DR. ANNIKEN BOGAARD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1430 FREEDOM BLVD STE D, WATSONVILLE, CA 95076-2752
(831) 763-8400
Mailing address
1430 FREEDOM BLVD STE D, WATSONVILLE, CA 95076-2752
(831) 763-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A92520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70530F
MEDICAID GROUP
CA
01
—
ZZZ15686Z
MEDICARE GROUP
CA
Enumeration date
07/25/2006
Last updated
02/19/2025
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