Brent Han Medical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRENT HAN MEDICAL INC

Practice address

1706 W Orangethorpe Ave Ste D
Fullerton, CA 92833-4556

Phone

(714) 879-9988

NPI assigned

Aug 5, 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

(714) 879-9988

Specialties & licenses 1

Addresses

Other names 1

• Han Family Medical Group Doing business as

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1780358432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W ORANGETHORPE AVE STE D",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W ORANGETHORPE AVE STE D",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334556",
            "telephone_number": "714-879-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT HAN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-879-9988",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Han Family Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin Joseph Breen Jr., PHARM.D.
• Clara I Brenan-Key, PHD
• Caitlin Ielene Brennan, M.A., CF-SLP
• Kareena Brennan
• Melissa Brenner
• Brian C. Kang Chiropractic, Inc.
• Brian K Tadang DDS Inc.
• Brian Ley, D.D.S., Inc.
• Jack Javier Briceno
• Bridge Academy Collective

• Family Medicine Physician in Fullerton, CA
• Providers in Fullerton, 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 Aug 25, 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.