Individual
DR. GALEN H. HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8851 CENTER DR # 412, LA MESA, CA 91942-3017
(619) 464-1507
(619) 464-4529
Mailing address
8851 CENTER DR # 412, LA MESA, CA 91942-3017
(619) 464-1507
(619) 464-4529
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A22495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A224950
—
CA
Enumeration date
08/12/2006
Last updated
07/08/2007
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