Provider Demographics
NPI:1851479182
Name:HAHN, SONJA (DC)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:
Last Name:HAHN
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 1:1459 E THOUSAND OAKS BLVD
Mailing Address - Street 2:STE A2
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6224
Mailing Address - Country:US
Mailing Address - Phone:805-496-6171
Mailing Address - Fax:
Practice Address - Street 1:1459 E THOUSAND OAKS BLVD
Practice Address - Street 2:STE A2
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-6224
Practice Address - Country:US
Practice Address - Phone:805-496-6171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor