Individual
JILL KILZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS, RVT
Contact information
Practice address
26732 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6306
(949) 364-1400
Mailing address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
123853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123853
REGISTERED DIAGNOSTIC MEDICAL SONOGRAPHER
CA
Enumeration date
05/19/2020
Last updated
05/19/2020
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