Individual
JOHN HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15630 18TH AVE, CLEARLAKE, CA 95422-9336
(707) 995-5890
Mailing address
3916 STATE ST, #300, SANTA BARBARA, CA 93105-5602
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A31314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902840176
—
CA
01
—
1902840716BG017Z
UPI#
CA
Enumeration date
06/16/2006
Last updated
07/14/2009
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