Basic Information
| Provider Information | |||||||||
| NPI: | 1417363391 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RACHAEL CAYCE, M.D. INC., A PROFESSIONAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1127 WILSHIRE BLVD STE 909 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900173910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2132780021 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1127 WILSHIRE BLVD STE 909 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900173910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142780021 | ||||||||
| FaxNumber: | 2142780973 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2014 | ||||||||
| LastUpdateDate: | 10/05/2019 | ||||||||
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| AuthorizedOfficialLastName: | CAYCE | ||||||||
| AuthorizedOfficialFirstName: | RACHAEL | ||||||||
| AuthorizedOfficialMiddleName: | LYNN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2144998343 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | A127822 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.