Provider Demographics
NPI:1538307970
Name:CLINE, HANH D (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:HANH
Middle Name:D
Last Name:CLINE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:2420 SONOMA STREET
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001
Mailing Address - Country:US
Mailing Address - Phone:530-225-8908
Mailing Address - Fax:530-229-1148
Practice Address - Street 1:2420 SONOMA STREET
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001
Practice Address - Country:US
Practice Address - Phone:530-225-8908
Practice Address - Fax:530-229-1148
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA16886363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA16886Medicare PIN