Healthcare Provider Details

I. General information

NPI: 1083529226
Provider Name (Legal Business Name): KARA LOU HILLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 CAMINO DEL RIO N STE 201
SAN DIEGO CA
92108-1747
US

IV. Provider business mailing address

3570 CAMINO DEL RIO N STE 201
SAN DIEGO CA
92108-1747
US

V. Phone/Fax

Practice location:
  • Phone: 619-507-9333
  • Fax: 619-467-4595
Mailing address:
  • Phone: 619-507-9333
  • Fax: 619-467-4595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: