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NPI Code Detail

MEDICARE: MS. IREY DOLORES HILSMAN

MEDICARE: MS. IREY DOLORES HILSMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RM2200XMedical Laboratory TechnicianCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154453777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. IREY DOLORES HILSMAN
Provider Business Mailing Address
First Line : 510 W 121ST ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-3909
Country : US
Telephone Number : 323-750-0640
Fax Number : 323-777-6446
Provider Business Practice Location Address
First Line : 2220 W MANCHESTER BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90305-2514
Country : US
Telephone Number : 323-750-0640
Fax Number : 323-777-6446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 10/30/2007

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