NPIMap

Organization Active NPI

Han Sam Corp

  • Infusion Therapy Clinic/Center
  • Riverside, CA
National Provider Identifier
1770081887
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
HAN SAM CORP
Practice address
7177 Brockton Ave Ste 341
Riverside, CA 92506-2634
Phone
(949) 386-1145
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Hany Samuel Benjamin
Title
Ceo
Phone
(760) 340-3248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

7177 Brockton Ave Ste 341
Riverside, CA 92506-2634

Mailing address

7177 Brockton Ave Ste 341
Riverside, CA 92506-2634
Phone (949) 386-1145

Other names 1

  • RE INFUSION CENTER RIVERSIDE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Han Sam Corp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7177 Brockton Ave
Ste 341
Riverside, CA 92506
Phone (949) 386-1145

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1770081887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 341",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062634",
            "telephone_number": "949-386-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 341",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062634",
            "telephone_number": "949-386-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN SAM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-340-3248"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RE INFUSION CENTER RIVERSIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.