Organization Active NPI

Clan Hahn MD Clinic, a Medical Corp

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1669127213
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CLAN HAHN MD CLINIC, A MEDICAL CORP
Practice address
520 S Virgil Ave Ste 306
Los Angeles, CA 90020-1441
Phone
(213) 277-1700
NPI assigned
Feb 12, 2022
Last updated
Feb 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clan Hahn, MDNPI 1023043189
Title
Ceo
Phone
(213) 277-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

520 S Virgil Ave Ste 306
Los Angeles, CA 90020-1441

Mailing address

520 S Virgil Ave Ste 306
Los Angeles, CA 90020-1441
Phone (213) 277-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220322000935 CA Part B Supplier - Clinic/Group Practice 9830584218 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

520 S Virgil Ave
Ste 306
Los Angeles, CA 90020
Phone (213) 277-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1669127213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201441",
            "telephone_number": "213-277-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201441",
            "telephone_number": "213-277-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAN HAHN MD CLINIC, A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "CLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-277-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.