Healthcare Provider Details

I. General information

NPI: 1639720881
Provider Name (Legal Business Name): CHRISTOPHER HILL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2019
Last Update Date: 09/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 CAMINO DEL RIO S STE 103
SAN DIEGO CA
92108-3520
US

IV. Provider business mailing address

1333 CAMINO DEL RIO S STE 103
SAN DIEGO CA
92108-3520
US

V. Phone/Fax

Practice location:
  • Phone: 619-501-2195
  • Fax: 619-501-2176
Mailing address:
  • Phone: 619-501-2195
  • Fax: 619-501-2176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number296947
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: