IndividualActive
Bruce Hanson, MD
NPI 1699981688 · Pediatric Surgery Physician · Arroyo Grande, CA
Provider details
- NPI number
- 1699981688
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G16388 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
915 Wigeon Way
Arroyo Grande, CA 93420-5555
Phone: (805) 481-7257
Fax: (805) 481-7257
Approximate (ZIP-level) locationGet directions
Mailing address
915 Wigeon Way
Arroyo Grande, CA 93420-5555
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.