Organization Name: | HILLA SADRI, M.D. A PROFESSIONAL CORPORATION |
NPI Number: | 1083826911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HILLA SADRI (PHYSICIAN OWNER) |
Mailing Address: | 600 Corporate Drive Suite 210 Ladera Ranch |
State: | CA US |
Postal Code: | 92694 |
Phone Number: | 9493642481 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 08/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | A32031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |