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NPI Code Detail

MEDICARE: MS. FRANCINE BRYANNE HANBERG MD

MEDICARE:  MS. FRANCINE BRYANNE HANBERG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianG53850CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114984366
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FRANCINE BRYANNE HANBERG MD
Provider Business Mailing Address
First Line : 1624 W OLIVE AVE
Second Line : SUITE G
City : BURBANK
State : CA
Zip : 91506-2459
Country : US
Telephone Number : 818-843-1819
Fax Number : 818-843-1964
Provider Business Practice Location Address
First Line : 1624 W OLIVE AVE
Second Line : SUITE G
City : BURBANK
State : CA
Zip : 91506-2459
Country : US
Telephone Number : 818-843-1819
Fax Number : 818-843-1964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 11/14/2015

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