Healthcare Provider Details

I. General information

NPI: 1467318345
Provider Name (Legal Business Name): RACHEL ELIZABETH KUAI BAUMBACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W CENTRAL AVE STE B
BREA CA
92821-3036
US

IV. Provider business mailing address

1439 VICTORIA DR
FULLERTON CA
92831-3453
US

V. Phone/Fax

Practice location:
  • Phone: 714-529-5022
  • Fax: 714-529-5016
Mailing address:
  • Phone: 714-529-5022
  • Fax: 714-529-5016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number28528
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: