Healthcare Provider Details

I. General information

NPI: 1477270585
Provider Name (Legal Business Name): RACHEL J SEELEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL NGUYEN

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 C ST STE 550
SACRAMENTO CA
95816-3386
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-2900
  • Fax: 916-733-2996
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA64372
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: