Healthcare Provider Details

I. General information

NPI: 1801033584
Provider Name (Legal Business Name): MS. TAMARA LORNA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44505 90TH ST W BLDG B
LANCASTER CA
93536-7705
US

IV. Provider business mailing address

506 W JACKMAN ST
LANCASTER CA
93534-2531
US

V. Phone/Fax

Practice location:
  • Phone: 661-726-2630
  • Fax:
Mailing address:
  • Phone: 661-726-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-NTDXEV
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: