# TARIQ HILAL, DO INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Coast Spine, Sports, and Rehabilitation Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023523099
- **Authorized official:** TARIQ IYAD HILAL DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 534-2606

## Contact information

- **Practice address:** 3771 KATELLA AVE STE 107, LOS ALAMITOS, CA 90720-3111
- **Practice address phone:** (714) 534-2606
- **Practice address fax:** (562) 534-2604
- **Mailing address:** PO BOX 11769, WESTMINSTER, CA 92685-1769
- **Mailing address phone:** (714) 553-2606
- **Mailing address fax:** (562) 534-2604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 12335 | MN | Yes |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 06/30/2025