1689738015 NPI number — MR. DALE ROBERT HAMILTON L.M.F.T.

Table of content: MR. DALE ROBERT HAMILTON L.M.F.T. (NPI 1689738015)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689738015 NPI number — MR. DALE ROBERT HAMILTON L.M.F.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMILTON
Provider First Name:
DALE
Provider Middle Name:
ROBERT
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
L.M.F.T.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAMILTON
Provider Other First Name:
D.
Provider Other Middle Name:
ROBERT
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.M.F.T.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1689738015
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2293
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORONA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92878-2293
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-289-8927
Provider Business Mailing Address Fax Number:
949-402-0477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 RAMONA AVE STE 212
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92879-1443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-289-8927
Provider Business Practice Location Address Fax Number:
949-402-0477
Provider Enumeration Date:
12/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  34248 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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