MEDICARE: HAN ORTHOPAEDICS INC

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
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1316348253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAN ORTHOPAEDICS INC

Provider Business Mailing Address
First Line	:	505 S VIRGIL AVE STE 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1443
Country	:	US
Telephone Number	:	213-805-5822
Fax Number	:	213-805-5812

Provider Business Practice Location Address
First Line	:	505 S VIRGIL AVE STE 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1443
Country	:	US
Telephone Number	:	213-805-5822
Fax Number	:	213-805-5812

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CHRISTINE PARK
Credential	:
Telephone Number	:	213-805-5822

Provider Enumeration Date	:	09/10/2014
Last Update Date	:	02/09/2018

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