Healthcare Provider Details

I. General information

NPI: 1033031042
Provider Name (Legal Business Name): HANNA MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28202 CABOT ROAD SUITE 300
LAGUNA NIGUEL CA
92677
US

IV. Provider business mailing address

2108 N ST # 7820
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 209-758-2701
  • Fax:
Mailing address:
  • Phone: 209-758-2701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMOUEL HANNA
Title or Position: PRESIDENT
Credential: MD
Phone: 209-758-2701