Hansen, John C

Hansen, John C is an individual health care provider with primary practice located at 3030 Childrens Way #112, San Diego CA 92123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hansen, John C can be contacted via phone (858) 495-0500.

Contact Information

Primary practice address
3030 Childrens Way #112 San Diego CA 92123
Phone: (858) 495-0500
Fax: (858) 560-4279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G68382 California

Profile Details

NPI number 1780655621
LBN Legal business name Hansen, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Feb 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780655621 NPPES
California Other G68382 MD LICENSE

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