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NPI Code Detail

MEDICARE: RACHEL ROTH PA

MEDICARE: RACHEL ROTH PA
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
1363A00000XPhysician AssistantCA60060CA

General Provider Information

NPI Number : 1609547926
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ROTH PA
Provider Business Mailing Address
First Line : 18942 BOLD RULER WAY
Second Line :
City : YORBA LINDA
State : CA
Zip : 92886-7001
Country : US
Telephone Number : 714-809-2524
Fax Number :
Provider Business Practice Location Address
First Line : 369 SAN MIGUEL DR STE 200
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-7850
Country : US
Telephone Number : 949-439-9288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2021
Last Update Date : 06/05/2025

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Directions to “ RACHEL ROTH PA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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