Individual
DR. TIMOTHY DAVID HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(887) 702-4628
(855) 246-2329
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(887) 702-4628
(855) 246-2329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A157165
CA
2080P0214X
Pediatric Pulmonology Physician
Primary
A157165
CA
Other
Enumeration date
03/23/2016
Last updated
09/19/2023
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