Individual
DAVID A HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 CEDAR RD, VISTA, CA 92083-5102
(760) 806-5400
(760) 806-5555
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 806-5400
(760) 806-5555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A94899
CA
207Q00000X
Family Medicine Physician
Primary
A94899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A948990
—
CA
Enumeration date
05/09/2007
Last updated
03/24/2020
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