Basic Information
| Provider Information | |||||||||
| NPI: | 1700446176 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEUNES SOLER | ||||||||
| FirstName: | HANSER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9383 DRAGON TREE DR | ||||||||
| Address2: | |||||||||
| City: | HESPERIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923444680 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7862941274 | ||||||||
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| Practice Location | |||||||||
| Address1: | 16455 MAIN ST STE 1 | ||||||||
| Address2: | |||||||||
| City: | HESPERIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923453500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7609472161 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2019 | ||||||||
| LastUpdateDate: | 11/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 179426 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.