Provider Demographics
NPI:1225796337
Name:HANS-ON RECOVERY, PLLC
Entity Type:Organization
Organization Name:HANS-ON RECOVERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANS
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:GEISSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-413-1600
Mailing Address - Street 1:1205 PACIFIC HWY UNIT 2202
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-8464
Mailing Address - Country:US
Mailing Address - Phone:518-413-1600
Mailing Address - Fax:518-413-1600
Practice Address - Street 1:24552 PACIFIC PARK DR
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-3055
Practice Address - Country:US
Practice Address - Phone:518-413-1600
Practice Address - Fax:518-413-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty