Selina Han
Family Medicine, Adult Medicine in Covina, CA. Individual provider (NPI-1).
NPI number1114763554
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1114763554
- Entity type
- Individual (NPI-1)
- Name
- Selina Han
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2024
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 65032 | CA | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
250 W Badillo StCovina, CA 91723-1906
Phone 626-967-6225 · Fax 626-331-7925
Mailing address
250 W Badillo StCovina, CA 91723-1906
Phone 626-967-6225 · Fax 626-331-7925
Other practice locations
309 E 2nd St
Pomona, CA 91766-1854
Pomona, CA 91766-1854
Phone 909-623-6116
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