Provider Demographics
NPI:1346351566
Name:HILL, RAISSA MARASIGAN (DO)
Entity Type:Individual
Prefix:DR
First Name:RAISSA
Middle Name:MARASIGAN
Last Name:HILL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:77 W MARCH LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5723
Mailing Address - Country:US
Mailing Address - Phone:209-477-5552
Mailing Address - Fax:209-477-5553
Practice Address - Street 1:77 W MARCH LN
Practice Address - Street 2:SUITE A
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5723
Practice Address - Country:US
Practice Address - Phone:209-477-5552
Practice Address - Fax:209-477-5553
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A7288207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX72880Medicaid
CAH17482Medicare UPIN
CA00AX72880Medicaid