Healthcare Provider Details

I. General information

NPI: 1568496537
Provider Name (Legal Business Name): KRISTINA G HOBSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 01/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14850 LOS GATOS BLVD
LOS GATOS CA
95032-2011
US

IV. Provider business mailing address

14850 LOS GATOS BLVD
LOS GATOS CA
95032-2011
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-2868
  • Fax: 408-358-6787
Mailing address:
  • Phone: 408-358-2868
  • Fax: 408-358-6787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberA65767
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: