Healthcare Provider Details
I. General information
NPI: 1255664611
Provider Name (Legal Business Name): HANA MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2009
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2560 W OLYMPIC BLVD STE 101B
LOS ANGELES CA
90006-2998
US
IV. Provider business mailing address
2560 W OLYMPIC BLVD STE 101B
LOS ANGELES CA
90006-2998
US
V. Phone/Fax
- Phone: 213-480-1000
- Fax: 213-386-0211
- Phone: 213-480-1000
- Fax: 213-386-0211
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEE
M
YOON
Title or Position: PRESIDENT
Credential:
Phone: 213-480-1000