| Hana Holistic Medical Center | |
|
2107 Channing Way Berkeley CA 94704-2020 | |
| (510) 527-1678 | |
| (510) 527-1848 |
| Full Name | Hana Holistic Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2107 Channing Way, Berkeley, California |
| Authorized Official Name and Position | Anas Hana (PRESIDENT) |
| Authorized Official Contact | 5105271678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hana Holistic Medical Center 2107 Channing Way Berkeley CA 94704-2020 Ph: (510) 527-1678 | Hana Holistic Medical Center 2107 Channing Way Berkeley CA 94704-2020 Ph: (510) 527-1678 |
| NPI Number | 1588054076 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 10/20/2015 |
| Medicare PECOS PAC ID | 1355656968 |
|---|---|
| Medicare Enrollment ID | O20150811005497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588054076 | NPI | - | NPPES |
| CA161667 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 73394 (California) | Primary |
| Provider Name | Anas Hana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811076557 PECOS PAC ID: 8527253871 Enrollment ID: I20101111000998 |
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