Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G57890 | CA |
N | 111NI0900X | Internist | G57890 | CA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | G57890 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | G57890 | CA |
NPI | 1659390227 |
---|---|
Provider Name | Michele Ann Hamilton |
First Address | Beverly Hills, CA 90211-3153 |
Second Address | Beverly Hills, CA 90211-3153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 11/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G578900 | MEDICAL PPIN # (01) | CA |
E02820 | (02) | CA |