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NPI Code Detail

MEDICARE: KATHARINA LAURA HILL M.D.

MEDICARE:   KATHARINA LAURA HILL  M.D.
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
12084P0800XPsychiatry Physician128803CA
22084B0002XObesity Medicine (Psychiatry & Neurology) Physician128803CA

General Provider Information

NPI Number : 1720344930
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINA LAURA HILL M.D.
Provider Business Mailing Address
First Line : PO BOX 1770
Second Line :
City : LA MESA
State : CA
Zip : 91944-1770
Country : US
Telephone Number : 858-876-2560
Fax Number :
Provider Business Practice Location Address
First Line : 11878 AVENUE OF INDUSTRY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3423
Country : US
Telephone Number : 858-876-2560
Fax Number : 888-270-2303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2012
Last Update Date : 12/15/2023

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