MEDICARE: RACHEL M. CHOLULA BA

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
1	101YM0800X	Mental Health Counselor
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1477840049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL M. CHOLULA BA

Provider Business Mailing Address
First Line	:	27285 LAS RAMBLAS STE 140
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8551
Country	:	US
Telephone Number	:	949-257-2251
Fax Number	:

Provider Business Practice Location Address
First Line	:	27285 LAS RAMBLAS STE 140
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8551
Country	:	US
Telephone Number	:	949-257-2251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	02/19/2026

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