Provider Demographics
NPI:1639247950
Name:HAN, ERNEST S (MD)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:S
Last Name:HAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1333 S MAYFLOWER AVE 2ND FL
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-5266
Mailing Address - Country:US
Mailing Address - Phone:626-775-3514
Mailing Address - Fax:626-408-3911
Practice Address - Street 1:1500 E DUARTE ROAD
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-3012
Practice Address - Country:US
Practice Address - Phone:626-256-4673
Practice Address - Fax:626-408-3911
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
CAA85994207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA85994AMedicare PIN