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Organization
HILLSIDE MOBILE PRIMARY CARE, A PROFESSIONAL NURSING CORPORATION
Active
Organization
HILLSIDE MOBILE PRIMARY CARE, A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY ANN MILLAN NP (CEO)
(951) 889-5088
Entity
Organization
Contact information
Practice address
12 S SAN GORGONIO AVE STE 202, BANNING, CA 92220-6015
(951) 889-5088
Mailing address
12 S SAN GORGONIO AVE STE 202, BANNING, CA 92220-6015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/12/2026
Last updated
05/18/2026
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