Provider Demographics
NPI:1700446176
Name:BEUNES SOLER, HANSER (MD)
Entity Type:Individual
Prefix:
First Name:HANSER
Middle Name:
Last Name:BEUNES SOLER
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 1:9383 DRAGON TREE DR
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92344-4680
Mailing Address - Country:US
Mailing Address - Phone:786-294-1274
Mailing Address - Fax:
Practice Address - Street 1:16455 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3500
Practice Address - Country:US
Practice Address - Phone:760-947-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA179426208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics