MISS RACHAEL ANN POLOKOFF


Address: 10801 National Blvd Ste 611, Los Angeles, CA 90064-4170
Phone: 3102734843

MISS RACHAEL ANN POLOKOFF (NPI# 1942654777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942654777
Entity Type Individual
Full Name MISS RACHAEL ANN POLOKOFF
Credential PH.D.
Practice Address 10801 National Blvd Ste 611
Los Angeles
CA 90064-4170
Practice Telephone 3102734843
Practice Fax Number 3102735056
Mailing Telephone 3102734843
Mailing Fax Number 3102735056
Enumeration Date 2016-04-18
Last Update Date 2017-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
28255 CA Behavioral Health & Social Service Providers

Office Location

Street Address 10801 NATIONAL BLVD STE 611
City LOS ANGELES
State CA
Zip Code 90064-4170

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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