Healthcare Provider Details

I. General information

NPI: 1518660802
Provider Name (Legal Business Name): RINA YACOBI PHARM.D., MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RINA YACOBI PHARM.D., MS

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 GATEWAY OAKS DR STE 100
SACRAMENTO CA
95833-3500
US

IV. Provider business mailing address

2720 GATEWAY OAKS DR STE 100
SACRAMENTO CA
95833-3500
US

V. Phone/Fax

Practice location:
  • Phone: 916-518-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: