Provider Demographics
NPI:1417089574
Name:HAMILTON, ERIC L (BA)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:L
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 POINDEXTER ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-1114
Mailing Address - Country:US
Mailing Address - Phone:213-435-3426
Mailing Address - Fax:
Practice Address - Street 1:1200 WILSHIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-1932
Practice Address - Country:US
Practice Address - Phone:213-482-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator