Healthcare Provider Details

I. General information

NPI: 1619300902
Provider Name (Legal Business Name): DANIEL F HILLENBRAND D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 08/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 TRAWLER ST
DISCOVERY BAY CA
94505-9346
US

IV. Provider business mailing address

1561 TRAWLER ST
DISCOVERY BAY CA
94505-9346
US

V. Phone/Fax

Practice location:
  • Phone: 925-413-5165
  • Fax: 888-944-4273
Mailing address:
  • Phone: 925-413-5165
  • Fax: 888-944-4273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberDC19482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: