Healthcare Provider Details

I. General information

NPI: 1861871816
Provider Name (Legal Business Name): RACHEL NGAI RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2015
Last Update Date: 09/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 SAN DIMAS ST
BAKERSFIELD CA
93301-1458
US

IV. Provider business mailing address

PO BOX 20181
BAKERSFIELD CA
93390-0181
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-8000
  • Fax: 661-327-8020
Mailing address:
  • Phone: 916-261-1322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number934545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: