Provider Demographics
NPI:1255436044
Name:HILZINGER, REINHARDT G (MD)
Entity type:Individual
Prefix:DR
First Name:REINHARDT
Middle Name:G
Last Name:HILZINGER
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 1:7124 BORREGO WAY
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1504
Mailing Address - Country:US
Mailing Address - Phone:916-878-9517
Mailing Address - Fax:
Practice Address - Street 1:7124 BORREGO WAY
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1504
Practice Address - Country:US
Practice Address - Phone:916-878-9517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G677270Medicaid
CACA197634Medicare PIN
E88891Medicare UPIN
CA00G677273Medicare PIN