Healthcare Provider Details

I. General information

NPI: 1851295554
Provider Name (Legal Business Name): ALEX CHRISTOPHER HAMMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BOX 55550 EL CAMINO REAL
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

BOX 55550 EL CAMINO REAL
CAMP PENDLETON CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-8912
  • Fax:
Mailing address:
  • Phone: 760-725-8912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1002X
TaxonomyIndependent Duty Corpsman
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: