Provider Demographics
NPI:1053306688
Name:HAMBLEY, RICHARD MORTON (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:MORTON
Last Name:HAMBLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 PACIFIC ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4400
Mailing Address - Country:US
Mailing Address - Phone:831-648-8000
Mailing Address - Fax:831-648-7799
Practice Address - Street 1:977 PACIFIC ST
Practice Address - Street 2:SUITE B
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4400
Practice Address - Country:US
Practice Address - Phone:831-648-8000
Practice Address - Fax:831-648-7799
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47873174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00852939OtherRR MEDICARE
CAP00852939OtherRR MEDICARE
CADJ867ZMedicare PIN
CA00G478730Medicare ID - Type UnspecifiedMEDICARE