Provider Demographics
NPI:1932435906
Name:INDIHILL GROUP, INC.
Entity Type:Organization
Organization Name:INDIHILL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BAYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-681-9468
Mailing Address - Street 1:991C LOMAS SANTA FE DR STE 406
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2125
Mailing Address - Country:US
Mailing Address - Phone:760-681-9468
Mailing Address - Fax:760-645-6258
Practice Address - Street 1:991C LOMAS SANTA FE DR STE 406
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2125
Practice Address - Country:US
Practice Address - Phone:760-681-9468
Practice Address - Fax:760-645-6258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG43540207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG43540OtherLICENSE
CAG43540OtherLICENSE