Individual
DR. GINA V HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1135 S SUNSET AVE STE 402, WEST COVINA, CA 91790-3938
(626) 337-4425
Mailing address
1135 S SUNSET AVE STE 402, WEST COVINA, CA 91790-3938
(626) 337-4425
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G87504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G875040
—
CA
01
—
G87504
STATE LICENSE
CA
Enumeration date
11/13/2006
Last updated
04/09/2008
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