| William I. Han, M.d. Inc | |
|
17150 Euclid St Suite 220 Fountain Valley CA 92708-4092 | |
| (714) 444-3030 | |
| (714) 444-3034 |
| Full Name | William I. Han, M.d. Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17150 Euclid St, Fountain Valley, California |
| Authorized Official Name and Position | William I Han (PRESIDENT) |
| Authorized Official Contact | 7144443030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William I. Han, M.d. Inc 17150 Euclid Ave. Suite 220 Fountain Valley CA 92708-4055 Ph: (714) 444-3030 | William I. Han, M.d. Inc 17150 Euclid St Suite 220 Fountain Valley CA 92708-4092 Ph: (714) 444-3030 |
| NPI Number | 1831381664 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 04/11/2012 |
| Medicare PECOS PAC ID | 5496824500 |
|---|---|
| Medicare Enrollment ID | O20080515000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831381664 | NPI | - | NPPES |
| 00A382180 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A38218 (California) | Primary |
| Provider Name | William I Han |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043300114 PECOS PAC ID: 5890864904 Enrollment ID: I20080515000307 |
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