Healthcare Provider Details

I. General information

NPI: 1508377920
Provider Name (Legal Business Name): RACHEL HUGHES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 10/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 S FIGUEROA ST
LOS ANGELES CA
90037-1206
US

IV. Provider business mailing address

4211 AVALON BLVD
LOS ANGELES CA
90011-5622
US

V. Phone/Fax

Practice location:
  • Phone: 323-233-0425
  • Fax: 323-232-2366
Mailing address:
  • Phone: 323-233-0425
  • Fax: 323-232-2366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number95083381
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: