Healthcare Provider Details

I. General information

NPI: 1174408686
Provider Name (Legal Business Name): RAFAEL B CAHUE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 CAMINO DEL SOL
OXNARD CA
93030-5013
US

IV. Provider business mailing address

1975 CAMINO DEL SOL
OXNARD CA
93030-5013
US

V. Phone/Fax

Practice location:
  • Phone: 805-394-4680
  • Fax:
Mailing address:
  • Phone: 805-394-4680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number210236017
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: