Healthcare Provider Details

I. General information

NPI: 1083525562
Provider Name (Legal Business Name): DR. HANAN HAMZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 SUNSET BLVD
ROCKLIN CA
95765-4270
US

IV. Provider business mailing address

6230 PINECREEK WAY
CITRUS HEIGHTS CA
95621-1730
US

V. Phone/Fax

Practice location:
  • Phone: 916-789-0807
  • Fax:
Mailing address:
  • Phone: 916-789-0807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93132
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: