Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 54052 | CA |
Y | 213EG0000X | General Practice | 54052 | CA |
NPI | 1003031741 |
---|---|
Provider Name | Dr. Sandra Beth Hunter |
First Address | San Diego, CA 92122-6025 |
Second Address | San Diego, CA 92113-1432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 08/07/2007 |