Organization
HAN SAM CORP
Active
Other names
RE Infusion Center Grass Valley
Organization subpart
No
Provider details
NPI number
Authorized official
HANY SAMUEL BENJAMIN (OWNER)
(760) 340-3248
Entity
Organization
Contact information
Practice address
300 SIERRA COLLEGE DR STE 250, GRASS VALLEY, CA 95945-5083
(530) 777-0119
Mailing address
16782 VON KARMAN AVE STE 12, IRVINE, CA 92606-2417
(949) 783-7012
(949) 743-8361
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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