1558623678 NPI number — RACHEL LYNN TAMAGNI

Table of content: RACHEL LYNN TAMAGNI (NPI 1558623678)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558623678 NPI number — RACHEL LYNN TAMAGNI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAMAGNI
Provider First Name:
RACHEL
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CANNON
Provider Other First Name:
RACHEL
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CMP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1558623678
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1632 CHRISTINA CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASO ROBLES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93446-7148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-769-6808
Provider Business Mailing Address Fax Number:
805-227-4761

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1632 CHRISTINA CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASO ROBLES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93446-7148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-769-6808
Provider Business Practice Location Address Fax Number:
805-227-4761
Provider Enumeration Date:
06/14/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 173C00000X , with the licence number:  24923 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)