Provider Demographics
NPI:1417197732
Name:KEN HASHIMOTO M.D. INC.
Entity Type:Organization
Organization Name:KEN HASHIMOTO M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHIMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-402-9110
Mailing Address - Street 1:1331 DAVID AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-5508
Mailing Address - Country:US
Mailing Address - Phone:831-402-9110
Mailing Address - Fax:866-408-1837
Practice Address - Street 1:80 GARDEN CT STE 101
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5367
Practice Address - Country:US
Practice Address - Phone:831-641-7280
Practice Address - Fax:831-641-7281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85319261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care