Individual
MRS. HEATHER DAWN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-0001
(310) 825-9820
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-6078
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA202085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA202085
—
CA
Enumeration date
07/01/2005
Last updated
05/05/2011
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