Doctor Name: | GREGG E HILL |
NPI Number: | 1124359195 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PAC |
License Number: | PA19966 |
Business Practice Address: | 26700 Towne Centre Dr Ste 100 Foothill Ranch, CA - 926102843 |
Business Phone Number: | 9494609111 |
Business Fax Number: | 9494609055 |
Mailing Address: | 26700 Towne Centre Dr Ste 100, FOOTHILL RANCH |
State: | CA |
Postal Code: | 926102843 |
Phone Number: | 9494609111 |
Fax Number: | 9494609055 |
NPI Enumeration Date: | 01/14/2010 |
NPI Last Update Date: | 01/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA19966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |