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Physician Compare National (NPI:1417395633)

HEALTHCARE PROVIDER: BONNIE HUANG HALL M.D. PH.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1417395633
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4284949116
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150820011214
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HALL
Individual professional last name
Provider First Name BONNIE
Individual professional first name
Provider Middle Name H
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2011
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 OBSTETRICS/GYNECOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties OBSTETRICS/GYNECOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 46923 WARM SPRINGS BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 207
Group Practice or individual's line 2 address
City FREMONT
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 945397977
Group Practice or individual's zip code (9 digits when available)
Phone Number 5106249137
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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