Organization · Type 2 NPI
Eric R. Hansen, D.o., Professional Corporation
Non-Pharmacy Dispensing Site · Hesperia, CA
NPI number
1801937479
Active
Practice location
15888 Main St, 112B
Hesperia, CA 92345-3452
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 20A8138 (CA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4 other providers at this address
Other non-pharmacy dispensing site providers in Hesperia
About NPI 1801937479
Eric R. Hansen, D.o., Professional Corporation's National Provider Identifier is 1801937479, issued on Feb 8, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Hesperia, CA. The record was last updated on Oct 17, 2012.