1215392188 NPI number — MRS. JESSICA R. GARCIA-HILLARD

Table of content: MRS. JESSICA R. GARCIA-HILLARD (NPI 1215392188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215392188 NPI number — MRS. JESSICA R. GARCIA-HILLARD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARCIA-HILLARD
Provider First Name:
JESSICA
Provider Middle Name:
R.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215392188
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1111 W. 6TH ST., SUITE 111
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-607-4400
Provider Business Mailing Address Fax Number:
213-250-7245

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1111 W. 6TH ST., SUITE 111
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-607-4400
Provider Business Practice Location Address Fax Number:
213-250-7245
Provider Enumeration Date:
12/21/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2355S0801X , with the licence number:  SLPA2461 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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