| NPI Details | |
|---|---|
| NPI | 1417099037 |
| Enumeration Date | 02/12/2007 |
| Last Updated | 12/16/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | KENNY KENNY |
| Position | DIRECTOR OF OPERATIONS |
| Phone | (619) 298-1318 |
| Fax | |
| Practice Location | |
|---|---|
| 4060 4TH AVE 505 SAN DIEGO CA, 92103-2116, US |
|
| Phone | (619) 298-1318 |
| Fax | |
| Business Location | |
|---|---|
| 5626 OBERLIN DR SUITE 110 SAN DIEGO CA, 92121-1705, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332900000X |
| License State | California |
| License Number | G51223 |
| Remove 1417099037 NPI Number | |
According to our database, Hillcrest Internal Medicine NPI is 1417099037, taxonomy code is 332900000X and license number is G51223, license state is located at California. Hillcrest Internal Medicine physically located at 4060 4th Ave, San Diego CA, 92103-2116. NPI Number 1033115704 has the healthcare provider type.
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1417099037 NPI number is provided on an as is basis without warranty of any kind. 1417099037 is maintained by the National Plan & Provider Enumeration System. The contents of Hillcrest Internal Medicine are for informational purposes only.
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