Healthcare Provider Details

I. General information

NPI: 1760604029
Provider Name (Legal Business Name): PATRICIA LOUISE HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA LOUISE AINSWORTH

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 JACOBS WAY
HAPPY CAMP CA
96039
US

IV. Provider business mailing address

PO BOX 1016
HAPPY CAMP CA
96039-1016
US

V. Phone/Fax

Practice location:
  • Phone: 530-493-1450
  • Fax: 530-493-1451
Mailing address:
  • Phone: 530-493-1450
  • Fax: 530-493-1451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS26591
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: