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Physician Compare National (NPI:1629125075)

HEALTHCARE PROVIDER: CECELIA MARIE HANN M.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 1629125075
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355355827
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101022000517
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HANN
Individual professional last name
Provider First Name CECELIA
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name VALENCIA GYNECOLOGY ASSOCIATES INC A MEDICAL GROUP
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 7416961974
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 27871 SMYTH DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 102
Group Practice or individual's line 2 address
City VALENCIA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 913556062
Group Practice or individual's zip code (9 digits when available)
Phone Number 6612591781
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 050624
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HENRY MAYO NEWHALL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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