Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | A60658 | CA |
N | 208000000X | Pediatrician | A60658 | CA |
NPI | 1831267228 |
---|---|
Provider Name | Katherine A Rauen |
First Address | Sacramento, CA 95817-2310 |
Second Address | Sacramento, CA 95817-2310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 27/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A606580 | (05) | CA |
H28313 | (02) | CA |