Organization
HILLCREST GYNECOLOGY & OBSTETRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY B RILEY M.D. (PARTNER)
(619) 297-4901
Entity
Organization
Contact information
Practice address
4045 3RD AVE, SUITE 301, SAN DIEGO, CA 92103-2132
(619) 297-4901
(619) 688-5994
Mailing address
4045 3RD AVE, SUITE 301, SAN DIEGO, CA 92103-2132
(619) 297-4901
(619) 688-5994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A68463
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G33037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A68463
MEDICAL LICENSE
CA
01
—
G33037
MEDICAL LICENSE
CA
01
—
ZZZ57305Z
BLUE SHIELD OF CA
CA
Enumeration date
04/02/2007
Last updated
08/22/2020
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