Individual
DUKE S HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1520 SAN PABLO ST, 1ST FLOOR, LOS ANGELES, CA 90033-5310
(323) 442-5900
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5900
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071007085
IL
103TC0700X
Clinical Psychologist
Primary
PSY25372
CA
2084N0400X
Neurology Physician
071007085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY25372
CA LICENSE
CA
Enumeration date
04/12/2007
Last updated
11/27/2023
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