Healthcare Provider Details

I. General information

NPI: 1114551843
Provider Name (Legal Business Name): RAC & ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42389 WINCHESTER RD
TEMECULA CA
92590-4851
US

IV. Provider business mailing address

2120 THIBODO RD STE A
VISTA CA
92081-7901
US

V. Phone/Fax

Practice location:
  • Phone: 858-694-5800
  • Fax: 760-560-7765
Mailing address:
  • Phone: 760-757-6031
  • Fax: 760-407-8293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: TERRY JANE RACCIATO
Title or Position: PRESIDENT
Credential:
Phone: 858-694-5800