Healthcare Provider Details

I. General information

NPI: 1336032994
Provider Name (Legal Business Name): RACHEL MALVAEZ LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 N BARRANCA AVE # 2115
COVINA CA
91723-1722
US

IV. Provider business mailing address

440 N BARRANCA AVE # 2115
COVINA CA
91723-1722
US

V. Phone/Fax

Practice location:
  • Phone: 415-915-4556
  • Fax:
Mailing address:
  • Phone: 415-915-4556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number148270
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: