Provider Demographics
NPI:1033214580
Name:ST JOHN HAMMOND, PAUL (MB BS DPHIL)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:ST JOHN HAMMOND
Suffix:
Gender:M
Credentials:MB BS DPHIL
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Other - Credentials:
Mailing Address - Street 1:LOMA LINDA HEALTHCARE SYSTEM # 605/10R
Mailing Address - Street 2:11201 BENTON STREET
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92357-0001
Mailing Address - Country:US
Mailing Address - Phone:909-801-5167
Mailing Address - Fax:909-801-5176
Practice Address - Street 1:605/10R LOMA LINDA HEALTHCARE SYSTEM
Practice Address - Street 2:11201 BENTON STREET
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-0001
Practice Address - Country:US
Practice Address - Phone:909-801-5167
Practice Address - Fax:909-801-5176
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA40660207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology