Organization
TARIQ HILAL, DO INC.
Active
Other names
South Coast Spine, Sports, and Rehabilitation Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ IYAD HILAL DO (MEDICAL DIRECTOR)
(562) 534-2606
Entity
Organization
Contact information
Practice address
3771 KATELLA AVE STE 107, LOS ALAMITOS, CA 90720-3111
(714) 534-2606
(562) 534-2604
Mailing address
PO BOX 11769, WESTMINSTER, CA 92685-1769
(714) 553-2606
(562) 534-2604
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
12335
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A15622
MEDICAL LICENSE
CA
Enumeration date
12/12/2017
Last updated
06/30/2025
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