Individual
DR. FATMA HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
840 WINTHROP RD, SAN MARINO, CA 91108-1708
(575) 622-2606
(575) 622-6645
Mailing address
840 WINTHROP RD, SAN MARINO, CA 91108-1708
(575) 622-2606
(575) 622-6645
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A063529
CA
208000000X
Pediatrics Physician
MD2006-0086
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60877324
—
NM
Enumeration date
08/23/2006
Last updated
05/30/2023
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