Provider Demographics
NPI:1750726485
Name:HAMBY, DONALD L (DO)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:L
Last Name:HAMBY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25745 BARTON RD # 301
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3812
Mailing Address - Country:US
Mailing Address - Phone:901-493-5990
Mailing Address - Fax:
Practice Address - Street 1:69780 STELLAR DR STE A
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-2954
Practice Address - Country:US
Practice Address - Phone:760-424-3380
Practice Address - Fax:760-424-3375
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A14027208100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program