Organization
HAN SAM CORP
Active
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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