Provider Demographics
NPI:1104904093
Name:REDLIN, HILLARY GREEN (MD)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:GREEN
Last Name:REDLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1530
Mailing Address - Country:US
Mailing Address - Phone:415-203-5701
Mailing Address - Fax:415-886-8537
Practice Address - Street 1:770 TAMALPAIS DR STE 310
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1737
Practice Address - Country:US
Practice Address - Phone:415-886-8538
Practice Address - Fax:415-886-8537
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70776207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A707760Medicaid
I20197Medicare UPIN
CA00A707760Medicaid