Provider Demographics
NPI:1700652682
Name:NHA INC
Entity Type:Organization
Organization Name:NHA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:LLAMOSO
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:310-347-6614
Mailing Address - Street 1:3500 CALLAN BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5167
Mailing Address - Country:US
Mailing Address - Phone:650-333-7454
Mailing Address - Fax:
Practice Address - Street 1:3500 CALLAN BLVD STE 203
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5167
Practice Address - Country:US
Practice Address - Phone:650-333-7454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty