TIMOTHY JOHN HATLEN

TORRANCE, CA
NPI1245673375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  a142824)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WA  MD60634682)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-04-08
Last Update Date2020-01-28
Business Address
TIMOTHY JOHN HATLEN
1000 W CARSON ST
TORRANCE, CA 90502-2004
Phone number: 310-222-3813
Mailing Address
TIMOTHY JOHN HATLEN
1333 CHESTNUT AVE
LONG BEACH, CA 90813-2944
Phone number: 562-753-2302