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Contact Information

DAVID R HACKLEY, MD
9850 GENESEE AVE.
SUITE 210
LA JOLLA, CA92037-1244
 Phone: 858-535-1075
 Fax: 858-453-9810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DAVID R HACKLEY · (Male)

NPI # 1790703288
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 05/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G75801
Hospital affiliation(s)
  • MAMMOTH HOSPITAL - (Critical Access)
    85 SIERRA PARK ROAD PO BOX 660
    MAMMOTH LAKES, CA 93546
  • SCRIPPS MEMORIAL HOSPITAL LA JOLLA - (Acute Care)
    9888 GENESEE AVENUE
    LA JOLLA, CA 92037
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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