Brandon Najeeb Hanna
Dentist, General Practice in La Mesa, CA. Individual provider (NPI-1).
NPI number1710678917
StatusActive
Last updated in NPPESAug 21, 2024
Details
- NPI
- 1710678917
- Entity type
- Individual (NPI-1)
- Name
- Brandon Najeeb Hanna
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2023
- Certification date
- Aug 21, 2024
- Last updated
- Aug 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 110227 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11147 Lalani DrLa Mesa, CA 91941-8209
Phone 619-402-5896
Mailing address
11147 Lalani DrLa Mesa, CA 91941-8209
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 93 General Practice Dentistry providers in La Mesa · All 2,882 providers in La Mesa
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