Mary R Hanna, MD | |
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
(626) 851-5938 | |
(626) 851-5940 |
Full Name | Mary R Hanna |
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Gender | Female |
Speciality | Pathology - Cytopathology |
Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730390725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | A96209 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Mary R Hanna, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-5938 | Mary R Hanna, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-5938 |
Sajjad Parvez Syed, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Randi Burke, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Dr. Tosha Nashay Brown, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 14362 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-337-0676 Fax: 268-134-3426 | |
Robert H. Zuch, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Judy H. Ko, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |