Healthcare Provider Details

I. General information

NPI: 1336073949
Provider Name (Legal Business Name): RAKSHYA POKHAREL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 FAIR OAKS AVE STE 200
SOUTH PASADENA CA
91030-2694
US

IV. Provider business mailing address

13359 BAVARIAN DR
SAN DIEGO CA
92129-2359
US

V. Phone/Fax

Practice location:
  • Phone: 619-275-4525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number00024991
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: