Provider Demographics
NPI:1215450143
Name:HAWATMEH, HANIN (DC)
Entity type:Individual
Prefix:DR
First Name:HANIN
Middle Name:
Last Name:HAWATMEH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 W LA HABRA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5407
Mailing Address - Country:US
Mailing Address - Phone:562-691-2225
Mailing Address - Fax:562-691-9725
Practice Address - Street 1:11 GOLDEN SHR STE 220
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4218
Practice Address - Country:US
Practice Address - Phone:562-495-5898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-23
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33953111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor