Provider Demographics
NPI:1922212356
Name:NOH, HANSANG (MD)
Entity Type:Individual
Prefix:DR
First Name:HANSANG
Middle Name:
Last Name:NOH
Suffix:
Gender:M
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:PO BOX 2549
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92690-0549
Mailing Address - Country:US
Mailing Address - Phone:949-462-0560
Mailing Address - Fax:949-462-3910
Practice Address - Street 1:24902 MOULTON PKWY
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92637-6403
Practice Address - Country:US
Practice Address - Phone:949-462-0560
Practice Address - Fax:949-462-3910
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98834207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1982635322OtherGROUP NPI #
CAW15225OtherMEDICARE PTAN #
CA1982635322OtherGROUP NPI #