Hamilton, Heather Dawn

Hamilton, Heather Dawn is an individual health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Hamilton, Heather Dawn can be contacted via phone (310) 825-9820.

Contact Information

Primary practice address
10833 Le Conte Ave Los Angeles CA 90095-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA202085 California

Profile Details

NPI number 1992702104
LBN Legal business name Hamilton, Heather Dawn
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated May 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992702104 NPPES
California MEDICAID PA202085

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