Organization
MICHAEL HANNON MD PC
Active
Other names
Hannon Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G HANNON MD (OWNER/PRESIDENT)
(914) 433-1654
Entity
Organization
Contact information
Practice address
99 N LA CIENEGA BLVD STE 304, BEVERLY HILLS, CA 90211-2286
(310) 362-3099
Mailing address
3 STRATFORD, MANHATTAN BEACH, CA 90266-7224
(703) 774-4850
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A123393
CA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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