Provider Demographics
NPI:1568544328
Name:BALL, HIEU (MD)
Entity Type:Individual
Prefix:
First Name:HIEU
Middle Name:
Last Name:BALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 PARK PL
Mailing Address - Street 2:140
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4460
Mailing Address - Country:US
Mailing Address - Phone:925-838-8830
Mailing Address - Fax:925-838-8836
Practice Address - Street 1:100 PARK PL
Practice Address - Street 2:140
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4460
Practice Address - Country:US
Practice Address - Phone:925-838-8830
Practice Address - Fax:925-838-8836
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2015-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA72834207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A728345OtherMEDICARE ID- TYPE UNSPECIFIED