Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | G47136 | CA |
Y | 111NI0900X | Internist | G47136 | CA |
N | 207RG0300X | Geriatric Medicine | G47136 | CA |
NPI | 1073597332 |
---|---|
Provider Name | Dr. Calvin Hayes Hirsch |
First Address | Davis, CA 95616-2972 |
Second Address | Sacramento, CA 95817-1460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 18/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A50607 | (02) | CA |
AH1544229 | DEA NUMBER (01) | |
G47136 | (05) | CA |