Provider Demographics
NPI:1679644975
Name:HILLQUIST, DANIEL C (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:C
Last Name:HILLQUIST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 HAYVENHURST AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3843
Mailing Address - Country:US
Mailing Address - Phone:818-988-0901
Mailing Address - Fax:818-988-0954
Practice Address - Street 1:7120 HAYVENHURST AVE
Practice Address - Street 2:STE 402
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3813
Practice Address - Country:US
Practice Address - Phone:818-998-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19483111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC19483AMedicare ID - Type Unspecified