Provider Demographics
NPI:1730378878
Name:HILL, EDWARD S (RESPIRATORY CARE PRA)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:S
Last Name:HILL
Suffix:
Gender:M
Credentials:RESPIRATORY CARE PRA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73490 SIESTA TRL
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-6106
Mailing Address - Country:US
Mailing Address - Phone:760-218-4789
Mailing Address - Fax:
Practice Address - Street 1:73490 SIESTA TRL
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-6106
Practice Address - Country:US
Practice Address - Phone:760-218-4789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00021171227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified