| Mallory Hill | |
|
350 Lake View Tahoma CA 96142 | |
| (949) 371-3573 | |
| Not Available |
| Full Name | Mallory Hill |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 350 Lake View, Tahoma, California |
| Authorized Official Name and Position | Mallory P Hill (PRESIDENT/CEO) |
| Authorized Official Contact | 9493713573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Hill 668 N Coast Hwy # 1112 Laguna Beach CA 92651-1513 Ph: (949) 371-3573 | Mallory Hill 350 Lake View Tahoma CA 96142 Ph: (949) 371-3573 |
| NPI Number | 1093238545 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 07/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093238545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Mallory Paul Hill Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Lakeview Ave, Tahoma, CA 96142 Phone: 619-871-7345 |