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NPI Code Detail

MEDICARE: RACHEL ELIZABETH ROSENBAUM

MEDICARE: RACHEL ELIZABETH ROSENBAUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95026384CA

General Provider Information

NPI Number : 1407539778
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ELIZABETH ROSENBAUM
Provider Business Mailing Address
First Line : 20500 BELSHAW AVE
Second Line :
City : CARSON
State : CA
Zip : 90746-3506
Country : US
Telephone Number : 949-620-6906
Fax Number :
Provider Business Practice Location Address
First Line : 2607 WILLO LN
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-4645
Country : US
Telephone Number : 949-620-6906
Fax Number : 949-620-6906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2023
Last Update Date : 07/10/2025

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Directions to “ RACHEL ELIZABETH ROSENBAUM ” Practice Location

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