Han, Aena D

Han, Aena D is an individual health care provider with primary practice located at 1505 W 17Th St Ste 1 , San Bernardino CA 92411-1202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Han, Aena D can be contacted via phone (909) 887-6494.

Contact Information

Primary practice address
1505 W 17Th St Ste 1 San Bernardino CA 92411-1202
Phone: (909) 887-6494
Fax: (909) 887-6043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17791 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 52866 Tennessee

Profile Details

NPI number 1679612212
LBN Legal business name Han, Aena D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 10th, 2021 - about 5 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 1679612212 NPPES
Mississippi MEDICAID 01972509

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