Healthcare Provider Details

I. General information

NPI: 1649019241
Provider Name (Legal Business Name): RAJAA LAARIBI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8933 PANAMA RD
LAMONT CA
93241-1633
US

IV. Provider business mailing address

4517 CHANEY LN
BAKERSFIELD CA
93311-1822
US

V. Phone/Fax

Practice location:
  • Phone: 833-678-2781
  • Fax:
Mailing address:
  • Phone: 562-393-0487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number148357
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: