Individual
ALBERT ICKSUN HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 E ARTESIA BLVD, MOLINA MEDICAL CENTERS, LONG BEACH, CA 90805-1476
(562) 491-7085
(562) 499-6171
Mailing address
1 GOLDEN SHR, MOLINA MEDICAL CENTERS SMO, LONG BEACH, CA 90802-4202
(562) 491-7085
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A62354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A623540
MEDI CAL
CA
Enumeration date
07/03/2006
Last updated
07/08/2007
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