Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | G083832 | CA |
N | 208600000X | Surgeon | G083832 | CA |
N | 2086S0102X | Surgical Critical Care | G083832 | CA |
Y | 2086S0127X | Trauma Surgeon | G83832 | CA |
NPI | 1477583458 |
---|---|
Provider Name | David E Hanpeter |
First Address | Mission Hills, CA 91345-1200 |
Second Address | Mission Hills, CA 91345-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 04/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G83820 | INDIVIDUAL BLUE SHIELD (01) | CA |
00G83820C29 | CALOPTIMA (01) | CA |
00G838320 | (05) | CA |
810001025 | MEDICARE RAILROAD (01) | CA |
G34224 | (02) | CA |