MEDICARE: RACHEL FROST HOLYBEE PA-C

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
1	363AM0700X	Medical Physician Assistant	PA21686	CA

General Provider Information

NPI Number	:	1285922070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL FROST HOLYBEE PA-C

Provider Business Mailing Address
First Line	:	41990 COOK ST STE 701
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6103
Country	:	US
Telephone Number	:	760-327-7900
Fax Number	:	760-327-7905

Provider Business Practice Location Address
First Line	:	41990 COOK ST STE 701
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6103
Country	:	US
Telephone Number	:	760-327-7900
Fax Number	:	760-327-7905

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2011
Last Update Date	:	09/01/2025

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