MEDICARE: DR. PHILIP E 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
1	207X00000X	Orthopaedic Surgery Physician	G59809	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00G59809	OTHER	CA	BLUE CROSS/BLUE SHIELD
3	G59809	OTHER	CA	STATE LICENSE
4	954721073	OTHER	CA	TRICARE

General Provider Information

NPI Number	:	1770583429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP E HILL M.D.

Provider Business Mailing Address
First Line	:	1760 TERMINO AVE STE 208
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-2151
Country	:	US
Telephone Number	:	562-961-5655
Fax Number	:	562-961-8836

Provider Business Practice Location Address
First Line	:	1760 TERMINO AVE
Second Line	:	208
City	:	LONG BEACH
State	:	CA
Zip	:	90804-2105
Country	:	US
Telephone Number	:	562-961-5655
Fax Number	:	562-961-8836

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	08/08/2014

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Directions to “ DR. PHILIP E HILL M.D.” Practice Location

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