Healthcare Provider Details
I. General information
NPI: 1437197811
Provider Name (Legal Business Name): THE HILL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2006
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9900 TALBERT AVE SUITE #102
FOUNTAIN VALLEY CA
92708-5153
US
IV. Provider business mailing address
223 N 1ST AVE SUITE #201
ARCADIA CA
91006-7089
US
V. Phone/Fax
- Phone: 714-378-7955
- Fax: 714-378-7954
- Phone: 626-698-7246
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085B0100X |
| Taxonomy | Body Imaging Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085U0001X |
| Taxonomy | Diagnostic Ultrasound Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
G.
HEDLEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-397-5139