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NPI Code Detail

MEDICARE: MRS. RACHEL ELIZABETH KROCHMAL F.N.P./PA-C

MEDICARE: MRS. RACHEL ELIZABETH KROCHMAL F.N.P./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
1363LF0000XFamily Nurse PractitionerRN457272CA
2363A00000XPhysician Assistant52203CA

General Provider Information

NPI Number : 1326117920
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL ELIZABETH KROCHMAL F.N.P./PA-C
Provider Business Mailing Address
First Line : 488 E VALLEY PKWY STE 311
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3374
Country : US
Telephone Number : 760-746-2860
Fax Number : 760-738-9501
Provider Business Practice Location Address
First Line : 488 E VALLEY PKWY STE 311
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3374
Country : US
Telephone Number : 760-746-2860
Fax Number : 760-738-9501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/31/2015

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