Individual
BEVRA HANNAHS HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, #365B, LOS ANGELES, CA 90095-0001
(310) 825-2448
(310) 206-8606
Mailing address
5767 W CENTURY BLVD, 400, LOS ANGELES, CA 90045-5631
(310) 825-7991
(310) 206-9707
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
C41163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C411630
—
CA
05
—
1992723936
—
CA
Enumeration date
07/17/2006
Last updated
09/12/2011
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