Provider Demographics
NPI:1770583429
Name:HILL, PHILIP E (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:E
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1760 TERMINO AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-2151
Mailing Address - Country:US
Mailing Address - Phone:562-961-5655
Mailing Address - Fax:562-961-8836
Practice Address - Street 1:1760 TERMINO AVE
Practice Address - Street 2:208
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-2105
Practice Address - Country:US
Practice Address - Phone:562-961-5655
Practice Address - Fax:562-961-8836
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2014-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG59809207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G598090Medicaid
CA00G59809OtherBLUE CROSS/BLUE SHIELD
CAG59809OtherSTATE LICENSE
CA954721073OtherTRICARE
CAG59809OtherSTATE LICENSE
CA954721073OtherTRICARE