SearchCalifornia208M00000X

Rachael Maciasz

NPI 1972940013 · on the registry since 2013 · sole proprietor

Practice

Address
2336 Santa Monica Blvd Ste 301
Santa Monica, CA 90404
Phone
(310) 998-9118
Fax
(310) 829-9318
Organisation at this address
John Badi Cher
Louis Ravitz Md Inc
Tang & Wong Dental, Inc
Core Surgery Center Inc
Resolution Surgical, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Additional practice sites

  • 1250 16th St # C2304, Santa Monica, CA

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
207R00000X
208000000X
Licence states on file
CA, RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California