Provider Demographics
NPI:1215089685
Name:HILL, VICTORIA M (DC)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:M
Last Name:HILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15495 LOS GATOS BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2544
Mailing Address - Country:US
Mailing Address - Phone:408-356-4454
Mailing Address - Fax:
Practice Address - Street 1:15495 LOS GATOS BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2544
Practice Address - Country:US
Practice Address - Phone:408-356-4454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 23841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0238410Medicare ID - Type Unspecified