Healthcare Provider Details

I. General information

NPI: 1801701909
Provider Name (Legal Business Name): HILARY COLOMBERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 KNOLLCREST DR STE 101
REDDING CA
96002-0181
US

IV. Provider business mailing address

457 KNOLLCREST DR STE 120
REDDING CA
96002-0121
US

V. Phone/Fax

Practice location:
  • Phone: 530-392-4399
  • Fax: 530-903-4226
Mailing address:
  • Phone: 530-392-4399
  • Fax: 530-903-4226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: