Eric R. Hansen, DO, Professional Corporation
Eric R. Hansen, DO, Professional Corporation is a Non-Pharmacy Dispensing Site in Hesperia, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
15888 Main St 112BHesperia, CA 92345-3452
Phone: (760) 947-0727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 20A8138 (CA) |
|---|
Record details
| NPI number | 1801937479 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Director Of Operations · (858) 625-2990 |
| Other names | Eric R. Hansen, Do |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | October 17, 2012 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |
Other providers in Hesperia
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High Desert Primary Care
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-
One Stop Multi Specialty Medical Group, Inc
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-
One Stop Multi-Specialty Medical Group & Therapy, Inc
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