Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G071146 | CA |
NPI | 1184756884 |
---|---|
Provider Name | Dr. Ilene E Hatch |
First Address | Irvine, CA 92612-1428 |
Second Address | Irvine, CA 92612-1428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G20691 | (02) | CA |