Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A40660 | CA |
N | 111NI0900X | Internist | A40660 | CA |
N | 207RN0300X | Nephrologist | A40660 | CA |
NPI | 1033214580 |
---|---|
Provider Name | Paul St John Hammond |
First Address | Loma Linda, CA 92357-0001 |
Second Address | Loma Linda, CA 92357-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 08/07/2007 |