Hicks, Timothy David
Hicks, Timothy David is an individual health care provider with primary practice located at 1201 W La Veta Ave , Orange CA 92868-4203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Hicks, Timothy David can be contacted via phone (887) 702-4628.Contact Information
Primary practice address
1201 W La Veta Ave
Orange CA 92868-4203
Phone: (887) 702-4628
Fax: (855) 246-2329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | A157165 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A157165 | California |
Profile Details
| NPI number | 1386006823 |
|---|---|
| LBN Legal business name | Hicks, Timothy David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Sep 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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