Healthcare Provider Details

I. General information

NPI: 1437923042
Provider Name (Legal Business Name): RACHEL E ABERGEL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 JEFFERSON AVE
REDWOOD CITY CA
94063-1804
US

IV. Provider business mailing address

23640 STRATHERN ST
WEST HILLS CA
91304-4487
US

V. Phone/Fax

Practice location:
  • Phone: 650-381-0616
  • Fax: 650-381-0617
Mailing address:
  • Phone: 818-397-0323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA63948
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: