| NPI | 1063512812 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-09-22 |
| Last Updated | 2020-08-17 |
| Mailing Address | 1505 Wilson Ter Ste 160 Glendale, CA 91206-4073 United States Phone: (818) 243-3140 | Fax: (818) 243-3158 📍 View Map |
| Primary Practice Address | 1505 Wilson Ter Ste 160 Glendale, CA 91206-4073 United States Phone: (188) 243-3140 | Fax: (818) 243-3158 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | CA | 1346579596 | NPI |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207V00000X – Obstetrics & Gynecology | CA | A67693 |
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About NPI 1063512812
Samantha Hye Jung Han M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063512812. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Glendale, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063512812?
NPI 1063512812 belongs to Samantha Hye Jung Han M.D., a Obstetrics & Gynecology in Glendale, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063512812 active?
The current status of NPI 1063512812 in the NPPES registry is Active. The record was last updated on 2020-08-17.
What specialty is NPI 1063512812?
NPI 1063512812 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063512812?
You can verify NPI 1063512812 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063512812?
The primary practice address on file for NPI 1063512812 is 1505 Wilson Ter Ste 160, Glendale, CA 91206-4073. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063512812 issued?
NPI 1063512812 was first issued (enumerated) on 2006-09-22. The NPPES record was last updated on 2020-08-17.
Practice Location Map
Samantha Hye Jung Han is located at 1505 Wilson Ter Ste 160, Glendale, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Samantha Hye Jung Han. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063512812. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Obstetrics & Gynecology | A67693 | CA |