Individual
MS. SUZAN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1303 W 6TH ST STE 105, CORONA, CA 92882-3196
(951) 278-8910
(951) 278-9895
Mailing address
1303 W 6TH ST STE 102, CORONA, CA 92882-3196
(951) 278-8910
(951) 278-9895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A55301
CA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
A55301
CA
207QA0505X
Adult Medicine Physician
A55301
CA
208000000X
Pediatrics Physician
A53301
CA
208D00000X
General Practice Physician
Primary
A55301A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A553010
—
CA
Enumeration date
04/23/2007
Last updated
03/07/2023
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