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NPI Code Detail

MEDICARE: RAINA JOHNS

MEDICARE: RAINA JOHNS
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1710813829
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAINA JOHNS
Provider Business Mailing Address
First Line : 325 WEST AVE
Second Line :
City : DARIEN
State : CT
Zip : 06820-4008
Country : US
Telephone Number : 203-767-5725
Fax Number :
Provider Business Practice Location Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 760-299-5181
Fax Number : 877-214-4220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ RAINA JOHNS ” Practice Location

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