Provider Demographics
NPI:1902819576
Name:HILL, DAVID M (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:HILL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2101 VALE RD
Mailing Address - Street 2:SUTIE 201
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3835
Mailing Address - Country:US
Mailing Address - Phone:510-233-9300
Mailing Address - Fax:510-233-9299
Practice Address - Street 1:2101 VALE RD
Practice Address - Street 2:SUTIE 201
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3835
Practice Address - Country:US
Practice Address - Phone:510-233-9300
Practice Address - Fax:510-233-9299
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CAG55514207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G555140Medicaid
CA00G555140Medicaid