Organization
HAIFACARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAN KYOKU HAHN M.D. (PRESIDENT)
(805) 448-6545
Entity
Organization
Contact information
Practice address
1187 COAST VILLAGE RD STE 608, MONTECITO, CA 93108-2737
(805) 448-6545
(805) 233-6637
Mailing address
1187 COAST VILLAGE RD STE 608, MONTECITO, CA 93108-2737
(805) 448-6545
(805) 233-6637
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G78245
LICENSE
CA
Enumeration date
10/16/2009
Last updated
03/22/2010
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