Provider Demographics
NPI:1336618305
Name:HANIN HAWATMEH, D.C. A PROFESSIONAL CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:HANIN HAWATMEH, D.C. A PROFESSIONAL CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:HANIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWATMEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-469-2758
Mailing Address - Street 1:417 W LA HABRA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5407
Mailing Address - Country:US
Mailing Address - Phone:562-691-2225
Mailing Address - Fax:562-691-9725
Practice Address - Street 1:3701 LONG BEACH BLVD STE 301
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3346
Practice Address - Country:US
Practice Address - Phone:310-469-2758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty