Healthcare Provider Details

I. General information

NPI: 1215841572
Provider Name (Legal Business Name): MONICA KERIANN HILL-OXNAM HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 CENTRAL BLVD STE A2
BRENTWOOD CA
94513-2228
US

IV. Provider business mailing address

1240 CENTRAL BLVD STE A2
BRENTWOOD CA
94513-2228
US

V. Phone/Fax

Practice location:
  • Phone: 925-658-1290
  • Fax: 925-884-8013
Mailing address:
  • Phone: 925-658-1290
  • Fax: 925-884-8013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA9296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: