Provider Demographics
NPI:1154424034
Name:HAN, FRANK CHENG (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CHENG
Last Name:HAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:223 N GARFIELD AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1700
Mailing Address - Country:US
Mailing Address - Phone:626-307-1171
Mailing Address - Fax:626-307-1192
Practice Address - Street 1:223 N GARFIELD AVE STE 301
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1700
Practice Address - Country:US
Practice Address - Phone:626-307-1171
Practice Address - Fax:626-307-1192
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34332207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A343320Medicaid
CAA27453Medicare UPIN
CA00A343320Medicaid