MEDICARE: TODD PRESTON HILL DO

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	2084P0800X	Psychiatry Physician	2002010580	MO
2	2084P0800X	Psychiatry Physician	E-15926	AR
3	2084P0800X	Psychiatry Physician	0529682	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00410837	OTHER	MO	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34354034	OTHER		BCBS

General Provider Information

NPI Number	:	1518947506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD PRESTON HILL DO

Provider Business Mailing Address
First Line	:	22421 DE GRASSE DR
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-5117
Country	:	US
Telephone Number	:	816-812-8610
Fax Number	:	870-907-0707

Provider Business Practice Location Address
First Line	:	1101 N SEPULVEDA BLVD STE 201
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-5963
Country	:	US
Telephone Number	:	877-859-2341
Fax Number	:

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

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	01/20/2023

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Directions to “ TODD PRESTON HILL DO” Practice Location

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