Healthcare Provider Details

I. General information

NPI: 1124771886
Provider Name (Legal Business Name): REBECCA D HUVAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 BELL AVE
SACRAMENTO CA
95838-3009
US

IV. Provider business mailing address

PO BOX 5662 2929 35TH STREET
SACRAMENTO CA
95817-0662
US

V. Phone/Fax

Practice location:
  • Phone: 561-267-5583
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number141751
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: