Healthcare Provider Details

I. General information

NPI: 1427591718
Provider Name (Legal Business Name): CHRISTOPHER P HOTCHKISS ARDMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2016
Last Update Date: 11/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 JOHN K DR APT 102
LONG BEACH CA
90803-6399
US

IV. Provider business mailing address

601 JOHN K DR APT 102
LONG BEACH CA
90803-6399
US

V. Phone/Fax

Practice location:
  • Phone: 850-691-5672
  • Fax:
Mailing address:
  • Phone: 850-691-5672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number194233
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: