Individual
IDELLE HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-5661
Mailing address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-5661
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
402604
CA
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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