Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 20A7077 | CA |
N | 207V00000X | Obstetrician & Gynecologist | 20A7077 | CA |
NPI | 1336183243 |
---|---|
Provider Name | Linda Marie Hillebrand |
First Address | Irvine, CA 92618-2337 |
Second Address | Irvine, CA 92618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 22/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00AX70770 | MEDICAL (01) | CA |