JERRY G HAN NPI 1194357038

NPI Information

  • NPI: 1194357038
  • Provider Name: JERRY G HAN
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4733 VALLEY CENTER AVE
    SAN DIMAS, CA
    ZIP 91773
  • Phone: (626) 696-0390

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NPI Details

Jerry G Han is a family medicine in San Dimas, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jerry G Han NPI is 1194357038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4733 VALLEY CENTER AVE
SAN DIMAS, CA
ZIP 91773-530
Phone: (626) 696-0390

The enumeration date for this NPI number is 2/9/2020 and was last updated on 2/9/2020.

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
1207Q00000XFamily Medicine95013906CALIFORNIAYes

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: 11/21/2025

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