Organization · Type 2 NPI

Jerry A. Hanson, M.d. A Professional Corporation

Medical Specialty Clinic/Center · San Jose, CA

NPI number 1215137963 Active

Practice location

2030 Forest Ave, Ste. 210
San Jose, CA 95128-4833

Call (408) 295-2257 Map

Fax (408) 295-2264

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XC33389 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

12 other providers at this address

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About NPI 1215137963

Jerry A. Hanson, M.d. A Professional Corporation's National Provider Identifier is 1215137963, issued on Jul 20, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in San Jose, CA. The record was last updated on Nov 14, 2007.