Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC24679 | CA |
NPI | 1003908997 |
---|---|
Provider Name | Dr. Rachel Frozenfar |
First Address | Los Altos, CA 94024-5426 |
Second Address | Los Altos, CA 94024-5426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 03/02/2011 |