Individual
TIVA HANJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26401 CROWN VALLEY PKWY STE 101, MISSION VIEJO, CA 92691-6302
(949) 348-4000
(949) 348-7466
Mailing address
26401 CROWN VALLEY PKWY STE 101, MISSION VIEJO, CA 92691-6302
(949) 348-4000
(949) 348-7466
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A81862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000263442
HMSA
HI
Enumeration date
01/24/2007
Last updated
11/15/2010
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