Healthcare Provider Details

I. General information

NPI: 1184132367
Provider Name (Legal Business Name): REBECCA OBERFIELD CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 TORRANCE BLVD STE B-169
TORRANCE CA
90503-4011
US

IV. Provider business mailing address

5315 TORRANCE BLVD STE B-169
TORRANCE CA
90503-4011
US

V. Phone/Fax

Practice location:
  • Phone: 800-829-8660
  • Fax:
Mailing address:
  • Phone: 800-829-8660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95008580
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number95151793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: