Individual
DR. ELLY HANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8285 SANTA ARMINTA AVE, SAN DIEGO, CA 92126-1226
(858) 860-5972
Mailing address
PO BOX 928262, SAN DIEGO, CA 92192-8262
(619) 517-8748
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A 5115
CA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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