Provider Demographics
NPI:1023043189
Name:HAHN, CLAN HYOKU (MD)
Entity Type:Individual
Prefix:MR
First Name:CLAN
Middle Name:HYOKU
Last Name:HAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S VIRGIL AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1441
Mailing Address - Country:US
Mailing Address - Phone:213-277-1700
Mailing Address - Fax:213-277-1817
Practice Address - Street 1:520 S VIRGIL AVE STE 306
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-1441
Practice Address - Country:US
Practice Address - Phone:213-277-1700
Practice Address - Fax:213-277-1817
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78245207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G782450Medicaid
CA00G782450Medicaid
CAG78245Medicare ID - Type Unspecified