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Individual

MEENA KIM HAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
13651 WILLARD ST, PANORAMA CITY, CA 91402
(818) 375-2000
Mailing address
11315 DEL REY AVE NE, ALBUQUERQUE, NM 87122-2421

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61388
NM
367500000X
Certified Registered Nurse Anesthetist
760025
TX
367500000X
Certified Registered Nurse Anesthetist
95000358
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2029886-01
TX
01
89472U
BCBS
TX
Enumeration date
09/03/2008
Last updated
05/30/2023
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