| NPI | 1407898653 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-06-12 |
| Last Updated | 2012-01-20 |
| Mailing Address | 640 W. Foothill Blvd., Suite 100 Glendora, CA 91741-2403 United States Phone: (626) 335-4041 | Fax: (626) 335-3768 📍 View Map |
| Primary Practice Address | 640 W. Foothill Blvd., Suite 100 Glendora, CA 91741-2403 United States Phone: (626) 335-4041 | Fax: (626) 335-3768 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 00A502591 | - |
| Other (non-Medicare) | CA | 110238745 | MEDICARE RR |
| Other (non-Medicare) | CA | P00936005 | MEDICARE RR |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | CA | A50259 |
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About NPI 1407898653
Ibrahim Issa Hanna M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1407898653. The primary specialty listed is Internal Medicine. The provider is located in Glendora, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407898653?
NPI 1407898653 belongs to Ibrahim Issa Hanna M.D., a Internal Medicine in Glendora, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407898653 active?
The current status of NPI 1407898653 in the NPPES registry is Active. The record was last updated on 2012-01-20.
What specialty is NPI 1407898653?
NPI 1407898653 is classified under the taxonomy Internal Medicine. 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 1407898653?
You can verify NPI 1407898653 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 1407898653?
The primary practice address on file for NPI 1407898653 is 640 W. Foothill Blvd., Glendora, CA 91741-2403. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407898653 issued?
NPI 1407898653 was first issued (enumerated) on 2006-06-12. The NPPES record was last updated on 2012-01-20.
Practice Location Map
Ibrahim Issa Hanna is located at 640 W. Foothill Blvd., Glendora, 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 Ibrahim Issa Hanna. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1407898653. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | A50259 | CA |