Basic Information
Provider Information
NPI: 1649368010
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILFMAN
FirstName: CYNTHIA
MiddleName: RENEE
NamePrefix:  
NameSuffix:  
Credential: MSPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21501 COLINA DR
Address2:  
City: TOPANGA
State: CA
PostalCode: 902903516
CountryCode: US
TelephoneNumber: 3104554284
FaxNumber:  
Practice Location
Address1: 16111 PLUMMER ST
Address2:  
City: SEPULVEDA
State: CA
PostalCode: 913432036
CountryCode: US
TelephoneNumber: 8188917711
FaxNumber: 8188959458
Other Information
ProviderEnumerationDate: 10/11/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251X0800X29647CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic

No ID Information.


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