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NPI Code Detail

MEDICARE: ROBERT HANSER DO

MEDICARE: ROBERT HANSER DO
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 Physician1251NV
2207Q00000XFamily Medicine Physician20A13285CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982675427
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT HANSER DO
Provider Business Mailing Address
First Line : 17360 BROOKHURST ST
Second Line : C/O MCMF - CREDENTIALING DEPARTMENT
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-3720
Country : US
Telephone Number : 657-241-3616
Fax Number :
Provider Business Practice Location Address
First Line : 2110 N BELLFLOWER BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-3126
Country : US
Telephone Number : 562-346-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 09/19/2014

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