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NPI Code Detail

MEDICARE: PAUL HYUNWOO HAN M.D.

MEDICARE: PAUL HYUNWOO HAN M.D.
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
1207Q00000XFamily Medicine Physician281626NY
2207Q00000XFamily Medicine PhysicianA138715CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A138715OTHERMD LICENSE

General Provider Information

NPI Number : 1265790901
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL HYUNWOO HAN M.D.
Provider Business Mailing Address
First Line : 15611 POMERADO RD
Second Line :
City : POWAY
State : CA
Zip : 92064-2437
Country : US
Telephone Number : 858-673-2574
Fax Number : 858-207-0039
Provider Business Practice Location Address
First Line : 211 13TH ST
Second Line :
City : RAMONA
State : CA
Zip : 92065-2711
Country : US
Telephone Number : 760-789-5160
Fax Number : 760-788-7962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 12/03/2021

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