Individual
GEORGE R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LAS TABLAS RD, TEMPLETON, CA 93465-9704
(805) 546-7650
Mailing address
PO BOX 87, TEMPLETON, CA 93465-0087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G67032
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
G67032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G670320
—
CA
01
—
930118647
MEDICARE RAILROAD
CA
Enumeration date
05/04/2006
Last updated
05/24/2010
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