Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A80632 | CA |
NPI | 1013995299 |
---|---|
Provider Name | Dr. Todd M. Hitchcock |
First Address | San Diego, CA 92127-5705 |
Second Address | San Diego, CA 92130-3318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 25/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A806320 | (05) | CA |