Provider Demographics
NPI:1447747530
Name:PARSONS, MIGNON HILLS (MD)
Entity Type:Individual
Prefix:
First Name:MIGNON
Middle Name:HILLS
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIGNON
Other - Middle Name:
Other - Last Name:HILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:GRADUATE MEDICAL EDUCATION
Mailing Address - Street 2:747 52ND STREET
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609
Mailing Address - Country:US
Mailing Address - Phone:510-428-3331
Mailing Address - Fax:
Practice Address - Street 1:550 16TH ST FL 5
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2545
Practice Address - Country:US
Practice Address - Phone:415-502-2338
Practice Address - Fax:415-476-5354
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA163495208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics