| Doctor Name: | THOMAS HANSON |
| NPI Number: | 1609811686 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A45493 |
| Business Practice Address: | 12062 Valley View St Garden Grove, CA - 928451737 |
| Business Phone Number: | 7148922333 |
| Business Fax Number: | 7148923979 |
| Mailing Address: | 12062 Valley View St, GARDEN GROVE |
| State: | CA |
| Postal Code: | 928451741 |
| Phone Number: | 7148922333 |
| Fax Number: | 7148923979 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A45493 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |