MS. SUZAN HANNA MD NPI 1619195625

NPI Information

  • NPI: 1619195625
  • Provider Name: MS. SUZAN HANNA, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1303 W 6TH ST STE 105
    CORONA, CA
    ZIP 92882
  • Phone: (951) 278-8910

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NPI Details

MS. Suzan Hanna, MD is a general practice in Corona, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MS. Suzan Hanna, MD NPI is 1619195625. 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:

1303 W 6TH ST STE 105
CORONA, CA
ZIP 92882-196
Phone: (951) 278-8910
Fax: (951) 278-9895

The NPI 1619195625 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 3/7/2023.

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 MedicineA55301CALIFORNIANo
2207QA0000XFamily MedicineAdolescent MedicineA55301CALIFORNIANo
3207QA0505XFamily MedicineAdult MedicineA55301CALIFORNIANo
4208000000XPediatricsA53301CALIFORNIANo
5208D00000XGeneral PracticeA55301ACALIFORNIAYes

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
100A553010MEDICAIDCALIFORNIA

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: 3/30/2025

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