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NPI Code Detail

MEDICARE: RACHEL RENE LARSEN

MEDICARE: RACHEL RENE LARSEN
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1942868609
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL RENE LARSEN
Provider Business Mailing Address
First Line : 555 E OCEAN BLVD STE 330
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5052
Country : US
Telephone Number : 562-542-1144
Fax Number : 951-346-5511
Provider Business Practice Location Address
First Line : 555 E OCEAN BLVD STE 330
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5052
Country : US
Telephone Number : 562-542-1144
Fax Number : 951-346-5511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2019
Last Update Date : 04/20/2026

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Directions to “ RACHEL RENE LARSEN ” Practice Location

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