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Dr. Scott Alan Hacker, MD
Specialist in La Mesa, California
NPI 1750450805

Scott Alan Hacker is a Specialist based in La Mesa, CA. Scott Alan Hacker practices in La Mesa, CA and has the professional credentials of MD. The NPI Number for Scott Alan Hacker is 1750450805 and holds a License No. A83881 (California).

The current practice location address for Scott Alan Hacker is 5565 Grossmont Center Dr, La Mesa, CA and can be reached out via phone at 619-462-3131 and via fax at 619-462-1731.

Location: 5565 Grossmont Center Dr, La Mesa, CA, 91942-3020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750450805
Provider Name
Scott Alan Hacker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5565 Grossmont Center Dr, La Mesa, CA, 91942-3020
Phone Number
619-462-3131
Fax Number
619-462-1731
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A38810 05 CA
institution
Provider Business Practice Location Address Details
Address
5565 Grossmont Center Dr
City
La Mesa
State
California
Zip
91942-3020
Phone Number
619-462-3131
Fax Number
619-462-1731
person
Provider Business Mailing Address Details
Address
5565 Grossmont Center Dr
City
La Mesa
State
California
Zip
91942-3020
Phone Number
619-462-3131
Fax Number
619-462-1731
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A83881 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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