JEFFERSON ANDREW HAMLIN MD NPI 1255368510

NPI Information

NPI: 1255368510
Provider Name: JEFFERSON ANDREW HAMLIN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1516 COTNER AVE
LOS ANGELES, CA
ZIP 90025
Phone: (310) 445-2800
Get Directions

Jefferson Andrew Hamlin, MD is a diagnostic radiology radiology in Los Angeles, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jefferson Andrew Hamlin, MD NPI is 1255368510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1516 COTNER AVE
LOS ANGELES, CA
ZIP 90025-303
Phone: (310) 445-2800
Fax: (310) 445-2983

The enumeration date for this NPI number is 6/26/2006 and was last updated on 4/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	G14789	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A39340	MEDICARE UPIN	CALIFORNIA
2	WG14789T	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	00G147890	OTHER	CALIFORNIA	BLUE SHIELD
4	WG14789V	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
5	WG14789U	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
6	WG14789S	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
7	00G147890	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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