Healthcare Provider Details
I. General information
NPI: 1265677371
Provider Name (Legal Business Name): THE HILL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2008
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 PICO ST
PASADENA CA
91105-3201
US
IV. Provider business mailing address
223 N 1ST AVE SUITE #201
ARCADIA CA
91006-7027
US
V. Phone/Fax
- Phone: 626-397-8661
- Fax:
- Phone: 626-821-1411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| 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