| Hani Hashem, MD, Inc | |
|
546 W Badillo St Ste D Covina CA 91722-3786 | |
| (626) 331-2222 | |
| (626) 331-2233 |
| Full Name | Hani Hashem, MD, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 546 W Badillo St Ste D, Covina, California |
| Authorized Official Name and Position | Hani Hashem (PRESIDENT) |
| Authorized Official Contact | 6268254886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hani Hashem, MD, Inc 415 W Leadora Ave Glendora CA 91741-2035 Ph: (626) 825-4886 | Hani Hashem, MD, Inc 546 W Badillo St Ste D Covina CA 91722-3786 Ph: (626) 331-2222 |
| NPI Number | 1073147898 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Medicare PECOS PAC ID | 8527489814 |
|---|---|
| Medicare Enrollment ID | O20200521001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073147898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Hani H Hashem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033179379 PECOS PAC ID: 7012811136 Enrollment ID: I20031120000910 |
| Provider Name | Victoria Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093688079 PECOS PAC ID: 2365923307 Enrollment ID: I20260226003536 |
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