Provider Demographics
NPI:1972609295
Name:HAHN, RHODA K (MD)
Entity Type:Individual
Prefix:DR
First Name:RHODA
Middle Name:K
Last Name:HAHN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3532 KATELLA AVE
Mailing Address - Street 2:#222
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3532 KATELLA AVE
Practice Address - Street 2:#222
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3112
Practice Address - Country:US
Practice Address - Phone:562-434-2714
Practice Address - Fax:714-908-7970
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG552072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG55207OtherPPIN
CAA93356Medicare UPIN