Provider Demographics
NPI:1760490643
Name:HALL, JAMES PATRICK (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PATRICK
Last Name:HALL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:18432 SANTA ISADORA ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5525
Mailing Address - Country:US
Mailing Address - Phone:714-527-7886
Mailing Address - Fax:714-593-9408
Practice Address - Street 1:5816 CORPORATE AVE STE 170
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4736
Practice Address - Country:US
Practice Address - Phone:714-527-7886
Practice Address - Fax:714-593-9408
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A78862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry