Provider Demographics
NPI:1326113325
Name:HILL, TAUNO WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:TAUNO
Middle Name:WILLIAM
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 951
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354
Mailing Address - Country:US
Mailing Address - Phone:909-882-1759
Mailing Address - Fax:909-881-1132
Practice Address - Street 1:401 E HIGHLAND AVENUE
Practice Address - Street 2:SUITE #551
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404
Practice Address - Country:US
Practice Address - Phone:909-882-1759
Practice Address - Fax:909-881-1132
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG31348207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ26877ZOtherCORP PROVIDER NUMBER
A44734Medicare UPIN
00G313480Medicare ID - Type Unspecified