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NPI Code Detail

MEDICARE: DR. SANDRA HAWA

MEDICARE: DR. SANDRA HAWA
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
1225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1750512448
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA HAWA
Provider Business Mailing Address
First Line : 120 SOUTH MENTOR AVENUE
Second Line : UNIT #301
City : PASADENA
State : CA
Zip : 91106
Country : US
Telephone Number : 626-456-3200
Fax Number :
Provider Business Practice Location Address
First Line : 1453 16TH ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2715
Country : US
Telephone Number : 310-264-6646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2009
Last Update Date : 09/25/2013

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Directions to “ DR. SANDRA HAWA ” Practice Location

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