MEDICARE: ALLEGRA HILL LM CPM

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
1	374J00000X	Doula
2	261QB0400X	Birthing Clinic/Center	LM411	CA
3	176B00000X	Midwife	LM411	CA

General Provider Information

NPI Number	:	1205182946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEGRA HILL LM CPM

Provider Business Mailing Address
First Line	:	3964 VAN BUREN PL
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2826
Country	:	US
Telephone Number	:	323-313-2388
Fax Number	:

Provider Business Practice Location Address
First Line	:	3964 VAN BUREN PL
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2826
Country	:	US
Telephone Number	:	323-313-2388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2012
Last Update Date	:	12/10/2014

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Directions to “ ALLEGRA HILL LM CPM” Practice Location

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