Healthcare Provider Details

I. General information

NPI: 1679088090
Provider Name (Legal Business Name): CLAUDETTE L BUEHLER DRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 12/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7916 PEBBLE BEACH DR STE 206
CITRUS HEIGHTS CA
95610-7790
US

IV. Provider business mailing address

7916 PEBBLE BEACH DR STE 206
CITRUS HEIGHTS CA
95610-7790
US

V. Phone/Fax

Practice location:
  • Phone: 916-961-1032
  • Fax: 916-962-9830
Mailing address:
  • Phone: 916-961-1032
  • Fax: 916-962-9830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberRHP00041025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: