Healthcare Provider Details

I. General information

NPI: 1801928486
Provider Name (Legal Business Name): CHARA ANGELA KRISTINE HAMMONDS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2007
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 MOTOR AVE
LOS ANGELES CA
90034-3710
US

IV. Provider business mailing address

8721 S 5TH AVE
INGLEWOOD CA
90305-2403
US

V. Phone/Fax

Practice location:
  • Phone: 310-466-9269
  • Fax: 310-837-6647
Mailing address:
  • Phone: 213-700-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: