Provider Demographics
NPI:1710045893
Name:HAMAN, HANAN N (MD)
Entity Type:Individual
Prefix:DR
First Name:HANAN
Middle Name:N
Last Name:HAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 PACIFIC AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2625
Mailing Address - Country:US
Mailing Address - Phone:562-989-1166
Mailing Address - Fax:562-989-1188
Practice Address - Street 1:2777 PACIFIC AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2625
Practice Address - Country:US
Practice Address - Phone:562-989-1166
Practice Address - Fax:562-989-1188
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89907208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208000000XAllopathic & Osteopathic PhysiciansPediatrics