Healthcare Provider Details

I. General information

NPI: 1588357131
Provider Name (Legal Business Name): MERNA HANNA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 N EUCLID ST
ANAHEIM CA
92801-1954
US

IV. Provider business mailing address

10359 SOMERSET BLVD
BELLFLOWER CA
90706-3320
US

V. Phone/Fax

Practice location:
  • Phone: 714-491-2732
  • Fax:
Mailing address:
  • Phone: 562-569-0388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113652
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: