Healthcare Provider Details

I. General information

NPI: 1033774153
Provider Name (Legal Business Name): GREGORY JOHN HOBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 05/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 POST ST STE 270
SAN FRANCISCO CA
94115-3466
US

IV. Provider business mailing address

7207 PINE GROVE WAY
FOLSOM CA
95630-1921
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2101
  • Fax:
Mailing address:
  • Phone: 801-735-1174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: