Provider Demographics
NPI:1851540942
Name:HAHN, PETER S (DC)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:S
Last Name:HAHN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12792 VALLEY VIEW ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845
Mailing Address - Country:US
Mailing Address - Phone:714-898-2580
Mailing Address - Fax:714-898-2589
Practice Address - Street 1:12792 VALLEY VIEW ST
Practice Address - Street 2:SUITE D
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845
Practice Address - Country:US
Practice Address - Phone:714-898-2580
Practice Address - Fax:714-898-2589
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20613111N00000X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0100XChiropractic ProvidersChiropractorOccupational Health