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NPI Code Detail

MEDICARE: CATALINA HANNAH

MEDICARE: CATALINA HANNAH
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
1363A00000XPhysician Assistant67545CA

General Provider Information

NPI Number : 1568329142
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATALINA HANNAH
Provider Business Mailing Address
First Line : 1800 WESTERN AVE STE 204
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92411-1353
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1800 WESTERN AVE STE 204
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92411-1353
Country : US
Telephone Number : 909-474-9952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ CATALINA HANNAH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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