Individual
DR. PETER SUNGMIN HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 550, LOS ANGELES, CA 90095-2804
(310) 206-6688
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A151704
CA
207YS0123X
Facial Plastic Surgery Physician
A151704
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A151704
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A151704
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2016
Last updated
07/11/2022
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