Provider Demographics
NPI:1154595221
Name:LAUREL MUNSON MD PC & KAREN GAIO HANSBERGER MD A CA MEDICAL PARTNERSHI
Entity type:Organization
Organization Name:LAUREL MUNSON MD PC & KAREN GAIO HANSBERGER MD A CA MEDICAL PARTNERSHI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-799-7900
Mailing Address - Street 1:25455 BARTON RD
Mailing Address - Street 2:SUITE A208
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354
Mailing Address - Country:US
Mailing Address - Phone:909-799-7900
Mailing Address - Fax:909-796-0334
Practice Address - Street 1:25455 BARTON RD
Practice Address - Street 2:SUITE A208
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354
Practice Address - Country:US
Practice Address - Phone:909-799-7900
Practice Address - Fax:909-796-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty