Provider Demographics
NPI:1831264761
Name:HILTNER, RICHARD EUGENE (MD)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:EUGENE
Last Name:HILTNER
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 1:169 E. EL ROBLAR
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023
Mailing Address - Country:US
Mailing Address - Phone:805-646-1495
Mailing Address - Fax:805-646-8159
Practice Address - Street 1:169 E EL ROBLAR DR
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2337
Practice Address - Country:US
Practice Address - Phone:805-646-1495
Practice Address - Fax:805-646-8159
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25671876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G239820OtherMEDI-CAL PROVIDER NUMBER
CAA 42118Medicare UPIN
CA00G239820OtherMEDI-CAL PROVIDER NUMBER