Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 54864 | AZ |
N | 111NI0900X | Internist | 54864 | AZ |
N | 2084N0400X | Neurologist | 54864 | AZ |
N | 2084N0400X | Neurologist | 66726 | MN |
Y | 2084N0400X | Neurologist | A171438 | CA |
NPI | 1023472115 |
---|---|
Provider Name | Rachel Elizabeth Carlin |
First Address | Torrance, CA 90504-5513 |
Second Address | Los Angeles, CA 90048-3311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 28/09/2021 |