Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health |
NPI | 1073981981 |
---|---|
Provider Name | Chad A Hilmo |
First Address | Torrance, CA 90502-4418 |
Second Address | Torrance, CA 90502-4418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2015 |
Last Update Date | 04/02/2016 |