MEDICARE: DR. JAMES EDWARD HAMMOND D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	26416	CA

General Provider Information

NPI Number	:	1881976140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES EDWARD HAMMOND D.M.D.

Provider Business Mailing Address
First Line	:	335 E ALBERTONI ST
Second Line	:	#200-634
City	:	CARSON
State	:	CA
Zip	:	90746-1425
Country	:	US
Telephone Number	:	562-426-6458
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 LONG BEACH BLVD
Second Line	:	SUITE B-6
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4022
Country	:	US
Telephone Number	:	562-426-6458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	09/13/2011

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