Healthcare Provider Details

I. General information

NPI: 1750245650
Provider Name (Legal Business Name): RACHEL HANNAH JOY HOLZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7181 DUMOSA AVE. STE #4
YUCCA VALLEY CA
92284
US

IV. Provider business mailing address

7281 DUMOSA AVE STE 4
YUCCA VALLEY CA
92284-3781
US

V. Phone/Fax

Practice location:
  • Phone: 760-218-6423
  • Fax:
Mailing address:
  • Phone: 760-218-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number134329
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: