Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 26730 | CA |
Y | 111NN1001X | Nutrition | 26730 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | 26730 | CA |
N | 111NS0005X | Chiropractic Sports Physician | 26730 | CA |
N | 111NX0100X | Occupational Health | 26730 | CA |
NPI | 1174782874 |
---|---|
Provider Name | Dr. Grace H Hameister |
First Address | Los Angeles, CA 90029-2122 |
Second Address | Los Angeles, CA 90029-2122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 06/06/2008 |