| Hannah Kern M.d., Inc. | |
|
354 Santa Fe Dr Encinitas CA 92024-5142 | |
| (760) 633-6507 | |
| Not Available |
| Full Name | Hannah Kern M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 354 Santa Fe Dr, Encinitas, California |
| Authorized Official Name and Position | Hannah Kern (OWNER) |
| Authorized Official Contact | 8334436287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Kern M.d., Inc. Po Box 5506 Culver City CA 90231-5506 Ph: (760) 257-5750 | Hannah Kern M.d., Inc. 354 Santa Fe Dr Encinitas CA 92024-5142 Ph: (760) 633-6507 |
| NPI Number | 1851055396 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 8527459759 |
|---|---|
| Medicare Enrollment ID | O20211227000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851055396 | NPI | - | NPPES |
| 4794986 | Other | CA | ARTICLES OF INCORPOERATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Hannah Kern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700270287 PECOS PAC ID: 7911259452 Enrollment ID: I20200806001506 |
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