MEDICARE: DEBRA HANKS MD

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	207ZC0500X	Cytopathology Physician	G68197	CA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	G68197	CA

General Provider Information

NPI Number	:	1891750824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA HANKS MD

Provider Business Mailing Address
First Line	:	PO BOX 10076
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91410-0076
Country	:	US
Telephone Number	:	805-578-8300
Fax Number	:	805-578-8950

Provider Business Practice Location Address
First Line	:	263 PEARSON DR
Second Line	:	SUITE 108
City	:	PORTERVILLE
State	:	CA
Zip	:	93257-3333
Country	:	US
Telephone Number	:	559-781-5174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	09/11/2025

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