| Hana Medical Group, Inc. | |
|
8615 Knott Ave Ste 3 Buena Park CA 90620-3886 | |
| (714) 527-4833 | |
| (714) 527-5986 |
| Full Name | Hana Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 8615 Knott Ave Ste 3, Buena Park, California |
| Authorized Official Name and Position | Mercedes Blasco Samson (ADMINISTRATOR) |
| Authorized Official Contact | 7145274833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hana Medical Group, Inc. 8615 Knott Ave Ste 3 Buena Park CA 90620-3886 Ph: (714) 527-4833 | Hana Medical Group, Inc. 8615 Knott Ave Ste 3 Buena Park CA 90620-3886 Ph: (714) 527-4833 |
| NPI Number | 1578605390 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 03/30/2020 |
| Medicare PECOS PAC ID | 8426092404 |
|---|---|
| Medicare Enrollment ID | O20050610000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578605390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mercedes Blasco Samson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578605226 PECOS PAC ID: 7618982422 Enrollment ID: I20111228000450 |
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