Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A127822 | CA |
N | 207N00000X | Dermatologist | P3130 | TX |
NPI | 1023279346 |
---|---|
Provider Name | Rachael Lynn Cayce |
First Address | Los Angeles, CA 90017-3907 |
Second Address | Los Angeles, CA 90017-3907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 30/09/2019 |