Provider Demographics
NPI:1205182946
Name:HILL, ALLEGRA (LM CPM)
Entity Type:Individual
Prefix:
First Name:ALLEGRA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LM CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3964 VAN BUREN PL
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2826
Mailing Address - Country:US
Mailing Address - Phone:323-313-2388
Mailing Address - Fax:
Practice Address - Street 1:3964 VAN BUREN PL
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2826
Practice Address - Country:US
Practice Address - Phone:323-313-2388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
CALM411261QB0400X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing