Healthcare Provider Details

I. General information

NPI: 1265012603
Provider Name (Legal Business Name): RACHEL YAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DUARTE RD
DUARTE CA
91010-3012
US

IV. Provider business mailing address

2401 S HACIENDA BLVD APT 30
HACIENDA HEIGHTS CA
91745-4759
US

V. Phone/Fax

Practice location:
  • Phone: 800-826-4673
  • Fax:
Mailing address:
  • Phone: 916-284-1813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number95166229
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: