Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A132135 | CA |
NPI | 1003177056 |
---|---|
Provider Name | Dr. Brandon Keith Hobel |
First Address | Sacramento, CA 95827-2539 |
Second Address | Auburn, CA 95603-9243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 28/07/2015 |