William I. Han, M.D. Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A38218 Issued in CA

Legal business name

WILLIAM I. HAN, M.D. INC

Practice address

17150 Euclid St
Suite 220
Fountain Valley, CA 92708-4092

Phone

(714) 444-3030

Fax

(714) 444-3034

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

William I Han, M.D.NPI 1043300114

Title

President

Phone

(714) 444-3030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William I Han, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Fountain Valley, CA
  • NPI 1043300114

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1831381664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 EUCLID AVE.",
            "address_2": "SUITE 220",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084055",
            "telephone_number": "714-444-3030",
            "fax_number": "949-419-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 EUCLID ST",
            "address_2": "SUITE 220",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084092",
            "telephone_number": "714-444-3030",
            "fax_number": "714-444-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM I. HAN, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-444-3030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A38218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A382180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth J Wilkens, MD
• Alexa Wilkenson, CCC-SLP
• Linda Marie Wilkinson-Taylor, D.C.
• William C. Kim, M.D. Inc
• William Hague Inc
• William M. Young, M.D. a Medical Corporation
• Colleen Patricia Williams, MA, BCBA LBA
• Erin Williams, RBT
• Gemma Lara de Blas Williams, LCSW
• Madeline Zola Williams

• All providers in Fountain Valley, CA
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.