Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 38000086A | IN |
NPI | 1669866083 |
---|---|
Provider Name | Dr. Charles Richard Hill |
First Address | San Diego, CA 92134-5291 |
Second Address | San Diego, CA 92134-5291 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 09/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CHT689-504 | CERTIFIED STRESS MANAGEMENT CONSULTANT (01) | CA |
VN 67423 | VOCATIONAL NURSE (01) | CA |