DR. HANAA N HANNA M.D. NPI 1003954942

NPI Information

NPI: 1003954942
Provider Name: DR. HANAA N HANNA, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D1074610

Address:
887 W 9TH ST
SAN PEDRO, CA
ZIP 90731
Phone: (310) 547-0887
Get Directions

DR. Hanaa N Hanna, M.D. is a pediatrics in San Pedro, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Hanaa N Hanna, M.D. NPI is 1003954942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

887 W 9TH ST
SAN PEDRO, CA
ZIP 90731-603
Phone: (310) 547-0887
Fax: (310) 547-4296

The CLIA number assigned to this NPI record is 05D1074610 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 4/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		A38447	CALIFORNIA	No
2	208000000X	Pediatrics		A52577	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811342751	OTHER	CALIFORNIA	NPPES
2	1952337321	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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