Jerry A. Hanson, MD a Professional Corporation
Jerry A. Hanson, MD a Professional Corporation is a Medical Specialty Clinic/Center in San Jose, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
2030 Forest Ave Ste 210San Jose, CA 95128-4833
Phone: (408) 295-2257
Fax: (408) 295-2264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence C33389 (CA) |
|---|
Record details
| NPI number | 1215137963 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Hanson — President · (048) 295-2257 |
| NPI enumerated | July 20, 2007 |
| Last updated in NPPES | November 14, 2007 |
| Mailing address | 2030 Forest Ave, Ste. 210, San Jose, CA 95128-4833 |
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