OrganizationActive
Nationwide Healthcare Provider Corp
NPI 1700612900 · Independent Medical Examiner Physician · Lake Forest, CA
Provider details
- NPI number
- 1700612900
- Entity type
- Organization
- Primary specialty
- Independent Medical Examiner PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Hilton, Owner(305) 332-0669
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
20505 Crescent Bay Dr
Lake Forest, CA 92630-8825
Phone: (949) 505-4313
Approximate (ZIP-level) locationGet directions
Mailing address
20505 Crescent Bay Dr
Lake Forest, CA 92630-8825
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.