Organization
HAN SAM CORP
Active
Other names
RE INFUSION CENTER RIVERSIDE
Organization subpart
No
Provider details
NPI number
Authorized official
HANY SAMUEL BENJAMIN (CEO)
(760) 340-3248
Entity
Organization
Contact information
Practice address
7177 BROCKTON AVE STE 341, RIVERSIDE, CA 92506-2634
(949) 386-1145
Mailing address
7177 BROCKTON AVE STE 341, RIVERSIDE, CA 92506-2634
(949) 386-1145
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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