Conrad Hamako, M.D. Inc.
Organization Active NPI Ophthalmology Physician · Freedom, CA
NPI 1104095058 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1104095058
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- OOG252850 (CA)
- Legal business name
- CONRAD HAMAKO, M.D. INC.
- Practice address
- 160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160 - Phone
- (831) 728-2020
- Fax
- (831) 728-4739
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Conrad Hamako, M.D.
- Title
- President
- Phone
- (831) 728-2020
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | OOG252850 | CA | Yes |
Addresses
Primary practice location
160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Mailing address
160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Phone (831) 728-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG252850 | Medicaid | CA |
Other providers in Freedom, CA
- Siyi Chen
- Shannon Nicol Clasen
- Clyne & Hsu Medical Group Inc
- Patrick Stephen Clyne
- Coastal Eye Associates, a Medical Corporation
- Albert James Crevello Jr.
- John V Crowder Jr.
- David a South MD & Kim M Albridge MD a Medical Corporation
- Deepak K Sachdev DDS Inc.
- Georgia Nicole Difiore
All providers in Freedom, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.