Basic Information
| Provider Information | |||||||||
| NPI: | 1861585143 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HILDEBRAND | ||||||||
| FirstName: | JANETT | ||||||||
| MiddleName: | AMANDA | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1206 E 17TH ST STE 101 | ||||||||
| Address2: | |||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927012641 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7143522911 | ||||||||
| FaxNumber: | 7143806235 | ||||||||
| Practice Location | |||||||||
| Address1: | 363 S MAIN ST | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7147448801 | ||||||||
| FaxNumber: | 7147448629 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/01/2006 | ||||||||
| LastUpdateDate: | 05/31/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 388794 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.