Individual
ALICE J. LIVELY HAMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
19000 HOMESTEAD RD BLDG 12ND, CUPERTINO, CA 95014-0712
(408) 366-4322
(408) 366-4336
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
20A8708
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A8708
MEDICARE ID
CA
Enumeration date
11/02/2006
Last updated
01/11/2022
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