Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A61390 | CA |
NPI | 1003854571 |
---|---|
Provider Name | Dr. Bradley Hope |
First Address | Santa Barbara, CA 93110-1851 |
Second Address | Santa Barbara, CA 93110-1814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 11/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A613900 | (05) | CA |
G71061 | (02) | CA |