Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A91117 | CA |
NPI | 1013952001 |
---|---|
Provider Name | Brian D Hild |
First Address | Riverside, CA 92501-4136 |
Second Address | Riverside, CA 92501-4136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L13835 | (02) |