Healthcare Provider Details

I. General information

NPI: 1245883883
Provider Name (Legal Business Name): HILLS REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8207 MULHOLLAND DR
LOS ANGELES CA
90046-1132
US

IV. Provider business mailing address

6053 BRISTOL PKWY
CULVER CITY CA
90230-6601
US

V. Phone/Fax

Practice location:
  • Phone: 323-880-2110
  • Fax:
Mailing address:
  • Phone: 323-364-6489
  • Fax: 310-919-0372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TERRY SCHOSER
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 323-364-6489