Healthcare Provider Details

I. General information

NPI: 1831590215
Provider Name (Legal Business Name): YVETTE RINCON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 09/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 HOSPITAL DR
SACRAMENTO CA
95823-5408
US

IV. Provider business mailing address

6911 23RD ST
SACRAMENTO CA
95822-4141
US

V. Phone/Fax

Practice location:
  • Phone: 916-689-3433
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: