Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A39569 | CA |
N | 111NI0900X | Internist | A39569 | CA |
Y | 207V00000X | Obstetrician & Gynecologist | A36569 | CA |
N | 207VG0400X | Gynecologist | A39569 | CA |
N | 207VX0000X | Obstetrician | A39569 | CA |
NPI | 1417927534 |
---|---|
Provider Name | Henry H Hamilton |
First Address | Burlingame, CA 94010-5384 |
Second Address | Burlingame, CA 94010-5384 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 23/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A395690 | (05) | CA |
05D0713721 | CLIA NUMBER (01) | CA |
A39569 | LICENSE NUMBER (01) | CA |
AH7032636 | DEA NUMBER (01) | CA |
F02811 | (02) | CA |