Basic Information
Provider Information
NPI: 1811215999
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL-ARNAIZ
FirstName: MAKAYLA
MiddleName: RAE
NamePrefix:  
NameSuffix:  
Credential: PA-C, MMS, RT(T)
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 10170 SORRENTO VALLEY RD
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921211604
CountryCode: US
TelephoneNumber: 8587845888
FaxNumber:  
Practice Location
Address1: 380 STEVENS AVE # SB100
Address2:  
City: SOLANA BEACH
State: CA
PostalCode: 920752063
CountryCode: US
TelephoneNumber: 8585549835
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/13/2010
LastUpdateDate: 12/16/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XPA20861CAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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