Provider Demographics
NPI:1407249568
Name:MCBEAN, HANNAH CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:CHRISTINE
Last Name:MCBEAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3875 MOUNT BRUNDAGE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-3820
Mailing Address - Country:US
Mailing Address - Phone:510-600-1319
Mailing Address - Fax:
Practice Address - Street 1:2535 CAMINO DEL RIO S STE 230
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3795
Practice Address - Country:US
Practice Address - Phone:619-363-5695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-13
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33220111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1407249568OtherOPTUM