MEDICARE: PAUL Y HAN DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E3270	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000E32700	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1972506988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL Y HAN DPM

Provider Business Mailing Address
First Line	:	PO BOX 8877
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92728-8877
Country	:	US
Telephone Number	:	714-850-1300
Fax Number	:	714-850-1301

Provider Business Practice Location Address
First Line	:	2621 S BRISTOL ST
Second Line	:	STE 209
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5719
Country	:	US
Telephone Number	:	714-850-1300
Fax Number	:	714-850-1301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/19/2024

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Directions to “ PAUL Y HAN DPM” Practice Location

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