Individual
DR. CLAUDIA MARIA HACKETHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 MURRAY ST, SAN LUIS OBISPO, CA 93405-8800
(805) 546-7899
(805) 546-7982
Mailing address
1010 MURRAY ST, SAN LUIS OBISPO, CA 93405-8800
(805) 546-7899
(805) 546-7982
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A822070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A822070
MEDICAL
CA
Enumeration date
06/16/2006
Last updated
08/15/2012
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