Healthcare Provider Details

I. General information

NPI: 1245223031
Provider Name (Legal Business Name): DONALD L HAMMON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 GEARY BLVD SUITE 100
SAN FRANCISCO CA
94118-3044
US

IV. Provider business mailing address

72 MAYWOOD DR
SAN FRANCISCO CA
94127-2008
US

V. Phone/Fax

Practice location:
  • Phone: 415-751-2225
  • Fax: 415-751-1293
Mailing address:
  • Phone: 415-751-2225
  • Fax: 415-751-1293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number21705
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: