Provider Demographics
NPI:1801970504
Name:FRANKLIN ALVAN HANAUER MD INC
Entity type:Organization
Organization Name:FRANKLIN ALVAN HANAUER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:ALVAN
Authorized Official - Last Name:HANAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:714-827-4240
Mailing Address - Street 1:515 S BEACH BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804
Mailing Address - Country:US
Mailing Address - Phone:714-827-4240
Mailing Address - Fax:714-827-5785
Practice Address - Street 1:515 S BEACH BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804
Practice Address - Country:US
Practice Address - Phone:714-827-4240
Practice Address - Fax:714-827-5785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG12740207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADP1102OtherRAILROAD MEDICARE GROUP PTAN
CA00G127400Medicaid
A90223Medicare UPIN
CA00G127400Medicaid