Healthcare Provider Details

I. General information

NPI: 1184448318
Provider Name (Legal Business Name): ERIC HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 N STATE COLLEGE BLVD
ANAHEIM CA
92806-1205
US

IV. Provider business mailing address

405 S ORANGE AVE APT A
BREA CA
92821-5454
US

V. Phone/Fax

Practice location:
  • Phone: 714-542-3581
  • Fax:
Mailing address:
  • Phone: 714-335-7173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number15037
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: