Healthcare Provider Details

I. General information

NPI: 1376051029
Provider Name (Legal Business Name): RHOKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2018
Last Update Date: 02/22/2020
Certification Date: 02/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 LIME ST STE 216-103
RIVERSIDE CA
92501-2971
US

IV. Provider business mailing address

1968 S COAST HWY # 803
LAGUNA BEACH CA
92651-3681
US

V. Phone/Fax

Practice location:
  • Phone: 877-712-5220
  • Fax: 844-300-5483
Mailing address:
  • Phone: 210-390-6929
  • Fax: 844-300-5483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: RHODEL CHRISTINE KABAH
Title or Position: LICENSED CLINICAL CHR COUNSELOR
Credential: M.A., LCCC
Phone: 210-390-6929