Healthcare Provider Details

I. General information

NPI: 1982519104
Provider Name (Legal Business Name): RACHAEL GIESCHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 LA CRESCENTA AVE
LA CRESCENTA CA
91214-3806
US

IV. Provider business mailing address

4252 FAIR AVE UNIT 13
NORTH HOLLYWOOD CA
91602-3061
US

V. Phone/Fax

Practice location:
  • Phone: 818-249-3187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: