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Jerry A. Hanson, M.d. A Professional Corporation
Medical Specialty Clinic/Center in San Jose, California
NPI 1215137963

Jerry A. Hanson, M.d. A Professional Corporation is a Medical Specialty Clinic/Center based in San Jose, CA and is specialized in Medical Specialty. Jerry A. Hanson, M.d. A Professional Corporation practices in San Jose, CA. The NPI Number for Jerry A. Hanson, M.d. A Professional Corporation is 1215137963 and holds a License No. C33389 (California).

The current practice location address for Jerry A. Hanson, M.d. A Professional Corporation is 2030 Forest Ave, San Jose, CA and can be reached out via phone at 408-295-2257 and via fax at 408-295-2264.

Location: 2030 Forest Ave, San Jose, CA, 95128-4833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215137963
Provider Name
Jerry A. Hanson, M.d. A Professional Corporation
Credential
Provider Entity Type
Organization
Address
2030 Forest Ave, San Jose, CA, 95128-4833
Phone Number
408-295-2257
Fax Number
408-295-2264
Provider Enumeration Date
07/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2030 Forest Ave
City
San Jose
State
California
Zip
95128-4833
Phone Number
408-295-2257
Fax Number
408-295-2264
person
Provider Business Mailing Address Details
Address
2030 Forest Ave
City
San Jose
State
California
Zip
95128-4833
Phone Number
408-295-2257
Fax Number
408-295-2264
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
C33389 (California)
Definition
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).
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