Individual
DR. ANNE MARIE HANNEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9850 GENESEE AVE STE 700, LA JOLLA, CA 92037-1218
(858) 558-9666
(858) 558-1941
Mailing address
9834 GENESEE AVENUE, SUITE 315, LA JOLLA, CA 92037-1221
(858) 457-4090
(858) 457-1543
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G068946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G689460
—
CA
01
—
180041603
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
07/21/2022
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