Provider Demographics
NPI:1801928486
Name:HAMMONDS, CHARA ANGELA KRISTINE (MS)
Entity type:Individual
Prefix:MS
First Name:CHARA
Middle Name:ANGELA KRISTINE
Last Name:HAMMONDS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:8721 S 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305-2403
Mailing Address - Country:US
Mailing Address - Phone:213-700-4343
Mailing Address - Fax:
Practice Address - Street 1:3200 MOTOR AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-3710
Practice Address - Country:US
Practice Address - Phone:310-466-9269
Practice Address - Fax:310-837-6647
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner