Individual
ETHAN JORDAN HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
885 TIVERTON DRIVE, LOS ANGELES, CA 90095-0001
(310) 825-6373
Mailing address
885 TIVERTON DRIVE, LOS ANGELES, CA 90095-0001
(310) 825-6373
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
PTL19282
CA
Other
Enumeration date
03/26/2025
Last updated
01/11/2026
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