Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Elza Lee Hickinbotham Jr.

Individual provider Health & Wellness Coach · NPI 1336030899

Mr. Elza Lee Hickinbotham Jr. is a Health & Wellness Coach in Campbell, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

162 Harrison Ave
Campbell, CA 95008-1444
Phone: (669) 294-4341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X (CA)

Record details

NPI number1336030899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 13, 2025

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