Hanson Medical Group, Inc. | |
624 W Duarte Rd Suite 103 Arcadia CA 91007-7603 | |
(626) 294-2070 | |
(626) 294-2076 |
Full Name | Hanson Medical Group, Inc. |
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Speciality | Family Medicine |
Location | 624 W Duarte Rd, Arcadia, California |
Authorized Official Name and Position | Durdana Gilani (PRESIDENT) |
Authorized Official Contact | 6262942070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hanson Medical Group, Inc. 624 W Duarte Rd Suite 103 Arcadia CA 91007-7603 Ph: (626) 294-2070 | Hanson Medical Group, Inc. 624 W Duarte Rd Suite 103 Arcadia CA 91007-7603 Ph: (626) 294-2070 |
NPI Number | 1730234717 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6204897374 |
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Medicare Enrollment ID | O20041021000893 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730234717 | NPI | - | NPPES |
00A319930 | Medicaid | CA | |
ZZZ49871Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A31993 (California) | Primary |
Provider Name | Durdana Gilani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538214408 PECOS PAC ID: 7012978182 Enrollment ID: I20041022000376 |
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