Individual
TIMOTHY A HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-5421
(213) 989-6129
Mailing address
PO BOX 951, GLENDALE, CA 91209-0951
(818) 550-0900
(818) 550-0909
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
992
STATE LICENSE NUMBER
CA
Enumeration date
05/18/2006
Last updated
03/17/2010
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