=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447160015
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTIAN HADAP DOLOR
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2026
-----------------------------------------------------
Last Update Date | 09/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10535 HOSPITAL WAY, MATHER AFB, UNITED STATES, 95655
-----------------------------------------------------
City | APO
-----------------------------------------------------
State | AA
-----------------------------------------------------
Zip | 95655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-695-3565
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9388 RIVER OAKS LN
-----------------------------------------------------
City | ORANGEVALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95662-4953
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-521-6127
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 776920
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------