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NPI Code Detail

MEDICARE: HAE SOL HAN BSN, RN, PHN

MEDICARE: HAE SOL HAN BSN, RN, PHN
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
1163WC0200XCritical Care Medicine Registered Nurse95343257CA

General Provider Information

NPI Number : 1265391940
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAE SOL HAN BSN, RN, PHN
Provider Business Mailing Address
First Line : 3033 W ORANGE AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-3183
Country : US
Telephone Number : 714-827-3000
Fax Number :
Provider Business Practice Location Address
First Line : 3033 W ORANGE AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-3183
Country : US
Telephone Number : 714-827-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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