Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC18113 | CA |
NPI | 1003947037 |
---|---|
Provider Name | Robert B Hotz |
First Address | San Francisco, CA 94109-3298 |
Second Address | San Francisco, CA 94109-3298 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |