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NPI Code Detail

MEDICARE: DR. LAILA HANNA M.D.

MEDICARE:  DR. LAILA  HANNA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA52175CA

General Provider Information

NPI Number : 1942348255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAILA HANNA M.D.
Provider Business Mailing Address
First Line : 1911 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-4744
Country : US
Telephone Number : 818-843-6640
Fax Number : 818-843-0347
Provider Business Practice Location Address
First Line : 1911 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-4744
Country : US
Telephone Number : 818-843-6640
Fax Number : 818-843-0347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 06/16/2018

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Directions to “ DR. LAILA HANNA M.D.” Practice Location

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