Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | G53854 | CA |
NPI | 1124006382 |
---|---|
Provider Name | Dr. James R. Hemp |
First Address | San Diego, CA 92127-5705 |
Second Address | San Diego, CA 92103-2117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 04/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G538540 | (05) | CA |
G61913 | (02) | CA |