Individual
SAHAPHUN HANSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3838 SAN DIMAS ST, SUITE A250, BAKERSFIELD, CA 93301-2284
(661) 323-5300
(661) 323-5455
Mailing address
3838 SAN DIMAS ST, SUITE A250, BAKERSFIELD, CA 93301-2284
(661) 323-5300
(661) 323-5455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G70534
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G70534
CA
207RP1001X
Pulmonary Disease Physician
Primary
G70534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123665900
US DEPARTMENT OF LABOR
—
05
—
7296536
—
CA
01
—
DC0466
RAILROAD MEDICARE
CA
Enumeration date
05/24/2006
Last updated
05/13/2015
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