Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YM0800X | Mental Health Counselor | CA | |
Y | 225400000X | Rehabilitation Practitioner | CA |
NPI | 1023650801 |
---|---|
Provider Name | Mr. Henry N Hobdy |
First Address | Los Angeles, CA 90062-2604 |
Second Address | Los Angeles, CA 90062-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2019 |
Last Update Date | 12/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
812735555 | (05) | CA |