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NPI Code Detail

MEDICARE: RASHAD ABDUR-RAHIM LVN

MEDICARE: RASHAD ABDUR-RAHIM LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN200714CA

General Provider Information

NPI Number : 1023141512
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHAD ABDUR-RAHIM LVN
Provider Business Mailing Address
First Line : 20211 SHERMAN WAY
Second Line : 213
City : WINNETKA
State : CA
Zip : 91306-3267
Country : US
Telephone Number : 818-700-8480
Fax Number :
Provider Business Practice Location Address
First Line : 4900 SERRANIA AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-3301
Country : US
Telephone Number : 818-697-3118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/08/2007

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