Individual
MARTIN B HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
414 N CAMDEN DR, STE 1100, BEVERLY HILLS, CA 90210-4532
(310) 278-3400
(310) 278-1240
Mailing address
414 N CAMDEN DR, STE 1100, BEVERLY HILLS, CA 90210-4532
(310) 278-3400
(310) 278-1240
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 14811
CA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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