Han Family Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HAN FAMILY MEDICAL GROUP INC

Practice address

11637 The PLZ Unit 45
Norwalk, CA 90650-3930

Phone

(562) 318-0810

Fax

(562) 318-0811

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Brent Han, DO

Title

President

Phone

(562) 318-0810

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1699360685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 THE PLZ UNIT 45",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503930",
            "telephone_number": "562-318-0810",
            "fax_number": "562-318-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 THE PLZ UNIT 45",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503930",
            "telephone_number": "562-318-0810",
            "fax_number": "562-318-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN FAMILY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-318-0810",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC MEDICINE",
            "identifier": "20A15879",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Halbasch, RDHAP
• Derek Joshua Hall
• Mackenzie Hamblin
• Dorina Hamilton
• Sade Hammonds
• John S Han
• Mi Han, FNP. PMHNP
• Peter Han, MSW/ LCSW
• Sarah Han, LVN
• Thein Htun Han, M.D.

• Family Medicine Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.