Healthcare Provider Details

I. General information

NPI: 1811067994
Provider Name (Legal Business Name): JANET MJ HAMMOND MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321012 ISLE VISTA
LAGUNA NIGUEL CA
92677
US

IV. Provider business mailing address

321012 ISLE VISTA
LAGUNA NIGUEL CA
92677
US

V. Phone/Fax

Practice location:
  • Phone: 949-461-6453
  • Fax:
Mailing address:
  • Phone: 949-461-6453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number042178
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: