Individual provider · Type 1 NPI

Martin B. Hannon, PAC

Medical Physician Assistant · Beverly Hills, CA

NPI number 1497860415 Active

Practice location

414 N Camden Dr, Ste 1100
Beverly Hills, CA 90210-4532

Fax (310) 278-1240

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 14811 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1497860415

Martin B. Hannon, PAC's National Provider Identifier is 1497860415, issued on Aug 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beverly Hills, CA. The record was last updated on Jul 8, 2007.