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Contact Information

COLLEEN HANNEGAN, RDO
21098 BAKE PKWY
SUITE 110
LAKE FOREST, CA92630-2163
 Phone: 949-597-0104
 Fax: 949-597-0106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for COLLEEN HANNEGAN · (Female)

NPI # 1619024601
Status Active
Credentials RDO
Entity Individual
Enumeration date 01/04/2007
Last updated 09/22/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CA License # SL 1762
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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