Healthcare Provider Details

I. General information

NPI: 1437588944
Provider Name (Legal Business Name): PAMELA HYMEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 11/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W BALL RD TEAM DISNEY ANAHEIM, ROOM 404B
ANAHEIM CA
92802-1843
US

IV. Provider business mailing address

700 W BALL RD TEAM DISNEY ANAHEIM, ROOM 404B
ANAHEIM CA
92802-1843
US

V. Phone/Fax

Practice location:
  • Phone: 714-781-7914
  • Fax: 714-781-3876
Mailing address:
  • Phone: 714-781-7914
  • Fax: 714-781-3876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberC41550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: