Provider Demographics
NPI:1033799002
Name:REDHILL MEDICAL CENTER INC
Entity Type:Organization
Organization Name:REDHILL MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLERINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-544-5007
Mailing Address - Street 1:1442 IRVINE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3845
Mailing Address - Country:US
Mailing Address - Phone:714-544-5007
Mailing Address - Fax:
Practice Address - Street 1:1442 IRVINE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3845
Practice Address - Country:US
Practice Address - Phone:714-544-5007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty