Individual
GARY RACHELEFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLAZA, SUITE 140-17, LOS ANGELES, CA 90095-8344
(310) 794-6884
(310) 261-5161
Mailing address
10833 LE CONTE AVE, 32-263 CHS, LOS ANGELES, CA 90095-3675
(310) 206-3952
(310) 206-0209
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
G22339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G223390
—
CA
Enumeration date
08/30/2006
Last updated
07/16/2013
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