Healthcare Provider Details

I. General information

NPI: 1962539957
Provider Name (Legal Business Name): REBECCA E. ALMOG MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 01/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 CHILDRENS WAY RADY CHILDREN'S HOSPITAL - OCCUPATIONAL HEALTH & SAFETY
SAN DIEGO CA
92123-4223
US

IV. Provider business mailing address

9728 KEENELAND ROW
LA JOLLA CA
92037-1168
US

V. Phone/Fax

Practice location:
  • Phone: 858-576-1700
  • Fax:
Mailing address:
  • Phone: 858-750-2576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN604895
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNP14996
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: