MEDICARE: MRS. CRIS LOUISE RASH

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	282N00000X	General Acute Care Hospital	AT6790	CA

General Provider Information

NPI Number	:	1982859138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRIS LOUISE RASH

Provider Business Mailing Address
First Line	:	8811 GERALDINE AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2912
Country	:	US
Telephone Number	:	858-277-5475
Fax Number	:

Provider Business Practice Location Address
First Line	:	8811 GERALDINE AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2912
Country	:	US
Telephone Number	:	858-277-5475
Fax Number	:

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

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	12/01/2008

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