Healthcare Provider Details

I. General information

NPI: 1326993742
Provider Name (Legal Business Name): RACHEAL CARBAJAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 DAVID ROAD
WOFFORD HEIGHTS CA
70280-2867
US

IV. Provider business mailing address

PO BOX 1141
WOFFORD HEIGHTS CA
93285-1141
US

V. Phone/Fax

Practice location:
  • Phone: 702-802-8673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: