Provider Demographics
NPI:1881767655
Name:HYLTON, DAVID ORLIN (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ORLIN
Last Name:HYLTON
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 1:844 UNION AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-5524
Mailing Address - Country:US
Mailing Address - Phone:707-428-4933
Mailing Address - Fax:707-425-3579
Practice Address - Street 1:844 UNION AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-5524
Practice Address - Country:US
Practice Address - Phone:707-428-4933
Practice Address - Fax:707-425-3579
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13556111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT05063Medicare UPIN