Kelly A Hanks, OTC
Individual provider Active NPI Technician/Technologist · Laguna Woods, CA
NPI 1750808804 · NPPES record last updated Aug 29, 2017
Key facts
- NPI
- 1750808804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician/Technologist 156F00000X
- Practice address
- 24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116 - Phone
- (949) 586-3200
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | CA | Yes |
Addresses
Primary practice location
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Mailing address
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Phone (949) 586-3200
Other providers in Laguna Woods, CA
- David Jr Gonzalez
- Scott Michael Graham
- Susan K Grenz
- Dimitri Gruer
- Hamarock Consultants Inc
- Hanmaum Medical Center
- Douglas Dean Harmon
- Danielle Brooke Harris-Nguyen
- Ryan Henderson
- Misha Henning
All providers in Laguna Woods, CA · Technician/Technologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.