Healthcare Provider Details

I. General information

NPI: 1356964530
Provider Name (Legal Business Name): RACHEL MUELLER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 TONGASS DR
SITKA AK
99835-9416
US

IV. Provider business mailing address

300 HILLMONT AVE. BLDG 340, STE 101 & 201
VENTURA CA
93003
US

V. Phone/Fax

Practice location:
  • Phone: 907-966-8347
  • Fax:
Mailing address:
  • Phone: 805-652-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A21591
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number228563
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: